Shopko Stores Operating Co Llc in Lincoln - Eyewear Supplier

Shopko Stores Operating Co Llc - NPI 1093766362

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 1093766362. The last update date is 2013-08-27.

Shopko Stores Operating Co Llc's current location address is 4200 S 27th St, Lincoln, Nebraska. You can contact this provider via phone number 4024212444 and fax number 4024211782. The mailing address for Shopko Stores Operating Co Llc is 4200 S 27th St, Lincoln, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 4200 S 27th St, Lincoln, Nebraska
Phone Number 4024212444
Fax Number 4024211782
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 1093766362
Provider Enumeration Date 2006-05-12
Last Updated Date 2013-08-27

Provider Mailing Address Detail

Address 4200 S 27th St
City Lincoln
State Nebraska (NE)
Post Code 685025858
Phone Number 4024212444
Fax Number 4024211782

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
10025413700 NE --
10025074200 NE --
2811140 NCPDP

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FAQs about Shopko Stores Operating Co Llc

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) 1093766362, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Shopko Stores Operating Co Llc is geographically located?

The Shopko Stores Operating Co Llc is physically situated at the following location: 4200 S 27Th St, Lincoln, NE, 685025858.

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 was the 1093766362 assigned to Shopko Stores Operating Co Llc?

The Shopko Stores Operating Co Llc was issued its 1093766362 on 2006-05-12, 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 most recently updated?

The details pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last refreshed on 2013-08-27.

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