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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FAQs about Shopko Stores Operating Co Llc

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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