Shopko Stores Operating Co Llc in Council Bluffs - Eyewear Supplier
Shopko Stores Operating Co Llc - NPI 1366608440
Shopko Stores Operating Co Llc is a Eyewear Supplier in Council Bluffs, Iowa. Shopko Stores Operating Co Llc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Shopko Stores Operating Co Llc is 1366608440. The last update date is 2009-08-24.
Shopko Stores Operating Co Llc's current location address is 3271 Marketplace Dr, Council Bluffs, Iowa. You can contact this provider via phone number 7123660706 and fax number 7123669020. The mailing address for Shopko Stores Operating Co Llc is 3271 Marketplace Dr, Council Bluffs, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 3271 Marketplace Dr, Council Bluffs, Iowa |
| Phone Number | 7123660706 |
| Fax Number | 7123669020 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VICE P |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1366608440 |
|---|---|
| Provider Enumeration Date | 2008-07-29 |
| Last Updated Date | 2009-08-24 |
Provider Mailing Address Detail
| Address | 3271 Marketplace Dr |
|---|---|
| City | Council Bluffs |
| State | Iowa (IA) |
| Post Code | 515017908 |
| Phone Number | 7123660706 |
| Fax Number | 7123669020 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1366608440 | WELLMARK BCBS IA | ||
| 51451 | AVESIS | ||
| A00793 | EYEMED | ||
| 62213 | SPECTERA | ||
| 135093 | VIP |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc has been issued the NPI (National Provider Identifier) 1366608440, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shopko Stores Operating Co Llc's facilities are geographically located?
The facilities of Shopko Stores Operating Co Llc are physically situated at the following location: 3271 Marketplace Dr, Council Bluffs, IA, 515017908.
What is the Shopko Stores Operating Co Llc's specialty and taxonomy code?
The Shopko Stores Operating Co Llc's specialty is Eyewear Supplier, and the corresponding taxonomy code is 332H00000X.
On what date was the 1366608440 assigned to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc was issued its 1366608440 on 2008-07-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Shopko Stores Operating Co Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-08-24.
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