Shopko Stores Operating Co. Llc in Rapid City - Eyewear Supplier

Shopko Stores Operating Co. Llc - NPI 1306899174

Shopko Stores Operating Co. Llc is a Eyewear Supplier in Rapid City, South Dakota. 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 1306899174. The last update date is 2008-02-11.

Shopko Stores Operating Co. Llc's current location address is 1845 Haines Ave, Rapid City, South Dakota. You can contact this provider via phone number 6053420354. The mailing address for Shopko Stores Operating Co. Llc is 1845 Haines Ave, Rapid City, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co. Llc
Address 1845 Haines Ave, Rapid City, South Dakota
Phone Number 6053420354
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 1306899174
Provider Enumeration Date 2006-05-19
Last Updated Date 2008-02-11

Provider Mailing Address Detail

Address 1845 Haines Ave
City Rapid City
State South Dakota (SD)
Post Code 577010663
Phone Number 6053420354
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
CP2230-37 EYEMED
17914 MEDICARE
35518 AVESIS
14078 VIP

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FAQs about Shopko Stores Operating Co. Llc

What is the unique identifier code issued to Shopko Stores Operating Co. Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Shopko Stores Operating Co. Llc has been assigned the NPI (National Provider Identifier) 1306899174. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Shopko Stores Operating Co. Llc is physically located?

The Shopko Stores Operating Co. Llc is physically situated at the following address: 1845 Haines Ave, Rapid City, SD, 577010663.

What is Shopko Stores Operating Co. Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Shopko Stores Operating Co. Llc is Eyewear Supplier, and the corresponding taxonomy classification code for this specialized field is 332H00000X.

When did Shopko Stores Operating Co. Llc receive its 1306899174 assignment?

The Shopko Stores Operating Co. Llc was assigned its 1306899174 on 2006-05-19, which is the date when this unique identifier was issued to the organization.

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 2008-02-11.

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