Shopko Stores Operating Co. Llc in Watertown - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1942253711
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Watertown, 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 1942253711. The last update date is 2008-02-11.
Shopko Stores Operating Co. Llc's current location address is 700 9th Ave Se, Watertown, South Dakota. You can contact this provider via phone number 6058822021. The mailing address for Shopko Stores Operating Co. Llc is 700 9th Ave Se, Watertown, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 700 9th Ave Se, Watertown, South Dakota |
| Phone Number | 6058822021 |
| 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 | 1942253711 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 700 9th Ave Se |
|---|---|
| City | Watertown |
| State | South Dakota (SD) |
| Post Code | 572015222 |
| Phone Number | 6058822021 |
| 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 |
|---|---|---|---|
| 30676 | AVESIS | ||
| 17912 | MEDICARE | ||
| 14054 | VIP | ||
| CP2230-40 | EYEMED |
Post Comment/ Review Below
What is the Shopko Stores Operating Co. Llc's 1942253711?
The Shopko Stores Operating Co. Llc's NPI (National Provider Identifier) Number is 1942253711. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shopko Stores Operating Co. Llc is physically located?
The Shopko Stores Operating Co. Llc is situated at the following address: 700 9Th Ave Se, Watertown, SD 572015222.
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 Centers for Medicare & Medicaid Services assign the 1942253711 to Shopko Stores Operating Co. Llc?
The Centers for Medicare & Medicaid Services assigned the 1942253711 to Shopko Stores Operating Co. Llc on 2006-05-19.
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.