Shopko Stores Operating Co Llc in Great Falls - Eyewear Supplier
Shopko Stores Operating Co Llc - NPI 1508819376
Shopko Stores Operating Co Llc is a Eyewear Supplier in Great Falls, Montana. 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 1508819376. The last update date is 2015-12-21.
Shopko Stores Operating Co Llc's current location address is 301 Northwest Byp, Great Falls, Montana. You can contact this provider via phone number 4067279682 and fax number 4067279716. The mailing address for Shopko Stores Operating Co Llc is 301 Northwest Byp, Great Falls, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 301 Northwest Byp, Great Falls, Montana |
| Phone Number | 4067279682 |
| Fax Number | 4067279716 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VICE P |
|---|---|
| Authorized Official Name | Bettiga J Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1508819376 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2015-12-21 |
Provider Mailing Address Detail
| Address | 301 Northwest Byp |
|---|---|
| City | Great Falls |
| State | Montana (MT) |
| Post Code | 594044125 |
| Phone Number | 4067279682 |
| Fax Number | 4067279716 |
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 |
|---|---|---|---|
| 230486 | MT | -- | |
| 2704218 | NCPDP NUMBER | ||
| 5607875 | MT | -- | |
| 211315 | MT | -- |
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What is the unique 10-digit identifier code issued to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) 1508819376 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Shopko Stores Operating Co Llc's physical address?
The Shopko Stores Operating Co Llc is physically located at 301 Northwest Byp, in the city of Great Falls, MT, with the postal code 594044125.
What is the Shopko Stores Operating Co Llc's area of specialization and corresponding taxonomy classification?
The Shopko Stores Operating Co Llc's specialty field is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their specialties.
When was the Shopko Stores Operating Co Llc's 1508819376 issued?
The Shopko Stores Operating Co Llc's 1508819376 was issued on 2006-05-19.
As of what date were the Shopko Stores Operating Co Llc's details last updated?
The information pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other details, was most recently updated on 2015-12-21.
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