Shopko Stores Operating Co Llc in Lincoln - Eyewear Supplier
Shopko Stores Operating Co Llc - NPI 1033160312
Shopko Stores Operating Co Llc is a Eyewear Supplier in Lincoln, Nebraska. 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 1033160312. The last update date is 2013-08-27.
Shopko Stores Operating Co Llc's current location address is 3400 N 27th St, Lincoln, Nebraska. You can contact this provider via phone number 4024655588 and fax number 4024650312. The mailing address for Shopko Stores Operating Co Llc is 3400 N 27th St, Lincoln, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 3400 N 27th St, Lincoln, Nebraska |
| Phone Number | 4024655588 |
| Fax Number | 4024650312 |
| 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 | 1033160312 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2013-08-27 |
Provider Mailing Address Detail
| Address | 3400 N 27th St |
|---|---|
| City | Lincoln |
| State | Nebraska (NE) |
| Post Code | 685211314 |
| Phone Number | 4024655588 |
| Fax Number | 4024650312 |
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 |
|---|---|---|---|
| 10025414500 | NE | -- | |
| 41098505430 | NE | -- | |
| 2815794 | NCPDP NUMBER |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1033160312?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1033160312. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shopko Stores Operating Co Llc's physical address?
The Shopko Stores Operating Co Llc is physically located at 3400 N 27Th St, in the city of Lincoln, NE, with the postal code 685211314.
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 did the Shopko Stores Operating Co Llc receive the assignment of its 1033160312 from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was issued its 1033160312 by the Centers for Medicare & Medicaid Services on 2006-05-12.
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 2013-08-27.
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