Shopko Stores Operating Co Llc in Eugene - Eyewear Supplier
Shopko Stores Operating Co Llc - NPI 1881645190
Shopko Stores Operating Co Llc is a Eyewear Supplier in Eugene, Oregon. 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 1881645190. The last update date is 2008-07-10.
Shopko Stores Operating Co Llc's current location address is 2815 Chad Dr, Eugene, Oregon. You can contact this provider via phone number 5416860838. The mailing address for Shopko Stores Operating Co Llc is 2815 Chad Dr, Eugene, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
---|---|
Address | 2815 Chad Dr, Eugene, Oregon |
Phone Number | 5416860838 |
Fax Number | |
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 | 1881645190 |
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Provider Enumeration Date | 2006-05-12 |
Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
Address | 2815 Chad Dr |
---|---|
City | Eugene |
State | Oregon (OR) |
Post Code | 974087335 |
Phone Number | 5416860838 |
Fax Number |
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 |
---|---|---|---|
OR04942 | OR | NORIDIAN SUBMITTER ID | |
14098 | VIP | ||
4379 | OR | -- | |
42581 | DAVIS VISION | ||
CP2230-35 | EYEMED |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1881645190?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1881645190. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc is situated at 2815 Chad Dr, in the city of Eugene, state of OR, with the zip code 974087335.
What is Shopko Stores Operating Co Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shopko Stores Operating Co Llc's area of specialization is Eyewear Supplier, and the corresponding taxonomy code that categorizes this field of practice is 332H00000X.
On what date did the Shopko Stores Operating Co Llc receive its 1881645190 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1881645190 by the Centers for Medicare & Medicaid Services on 2006-05-12.
When was the information related to Shopko Stores Operating Co Llc most recently updated or refreshed?
The details pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-10.
NPI Number: 1528061710
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