Shopko Stores Operating Co Llc in Kalispell - Eyewear Supplier
Shopko Stores Operating Co Llc - NPI 1679526446
Shopko Stores Operating Co Llc is a Eyewear Supplier in Kalispell, 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 1679526446. The last update date is 2014-01-21.
Shopko Stores Operating Co Llc's current location address is 1370 Us Highway 2 E, Kalispell, Montana. You can contact this provider via phone number 4062571274 and fax number 4062571268. The mailing address for Shopko Stores Operating Co Llc is 1370 Us Highway 2 E, Kalispell, Montana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
---|---|
Address | 1370 Us Highway 2 E, Kalispell, Montana |
Phone Number | 4062571274 |
Fax Number | 4062571268 |
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 | 1679526446 |
---|---|
Provider Enumeration Date | 2006-05-19 |
Last Updated Date | 2014-01-21 |
Provider Mailing Address Detail
Address | 1370 Us Highway 2 E |
---|---|
City | Kalispell |
State | Montana (MT) |
Post Code | 599013221 |
Phone Number | 4062571274 |
Fax Number | 4062571268 |
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 |
---|---|---|---|
2705424 | NCPDP NUMBER | ||
5607901 | MT | -- | |
220844 | MT | -- | |
5604924 | MT | -- | |
230418 | MT | -- |
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What is the Shopko Stores Operating Co Llc's unique identification number?
The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) Number 1679526446 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc is situated at 1370 Us Highway 2 E, in the city of Kalispell, state of MT, with the zip code 599013221.
What is Shopko Stores Operating Co Llc's area of expertise and its corresponding taxonomy classification?
The Shopko Stores Operating Co Llc's field of specialization is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1679526446 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services assigned the 1679526446 to Shopko Stores Operating Co Llc on 2006-05-19.
When was the information pertaining to Shopko Stores Operating Co Llc most recently updated or revised?
The details related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last updated or revised on 2014-01-21.
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