Shopko Stores Operating Co. Llc in Lacey - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1033161419
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Lacey, Washington. 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 1033161419. The last update date is 2009-06-05.
Shopko Stores Operating Co. Llc's current location address is 5500 Martin Way E, Lacey, Washington. You can contact this provider via phone number 3604564532. The mailing address for Shopko Stores Operating Co. Llc is 5500 Martin Way E, Lacey, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 5500 Martin Way E, Lacey, Washington |
| Phone Number | 3604564532 |
| 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 | 1033161419 |
|---|---|
| Provider Enumeration Date | 2006-05-16 |
| Last Updated Date | 2009-06-05 |
Provider Mailing Address Detail
| Address | 5500 Martin Way E |
|---|---|
| City | Lacey |
| State | Washington (WA) |
| Post Code | 9851663260 |
| Phone Number | 3604564532 |
| 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 |
|---|---|---|---|
| 17676 | MEDICARE | ||
| CP2230-57 | EYEMED | ||
| 2020667 | WA | -- | |
| WA09205 | WA | NORIDIAN SUBMITTER ID | |
| 14113 | VIP | ||
| G8855125 | MEDICARE | ||
| 2016293 | WA | -- |
Post Comment/ Review Below
What is the unique 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) 1033161419. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shopko Stores Operating Co. Llc located?
The Shopko Stores Operating Co. Llc is located at 5500 Martin Way E, Lacey, WA 9851663260.
What is Shopko Stores Operating Co. Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shopko Stores Operating Co. Llc is Eyewear Supplier, and the taxonomy code that classifies this field of practice is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033161419 to Shopko Stores Operating Co. Llc?
The Centers for Medicare & Medicaid Services originally issued the 1033161419 to Shopko Stores Operating Co. Llc on 2006-05-16.
As of what date was the information pertaining to Shopko Stores Operating Co. Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-06-05.