Shopko Stores Operating Co. Llc in Yakima - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1891747879
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Yakima, 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 1891747879. The last update date is 2009-06-05.
Shopko Stores Operating Co. Llc's current location address is 5801 Summitview Ave, Yakima, Washington. You can contact this provider via phone number 5099656405. The mailing address for Shopko Stores Operating Co. Llc is 5801 Summitview Ave, Yakima, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 5801 Summitview Ave, Yakima, Washington |
| Phone Number | 5099656405 |
| 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 | 1891747879 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2009-06-05 |
Provider Mailing Address Detail
| Address | 5801 Summitview Ave |
|---|---|
| City | Yakima |
| State | Washington (WA) |
| Post Code | 989083006 |
| Phone Number | 5099656405 |
| 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 |
|---|---|---|---|
| 14081 | VIP | ||
| 2010312 | WA | -- | |
| 213121-31 | EYEMED | ||
| G8854796 | MEDICARE | ||
| 17673 | MEDICARE | ||
| 2007912 | WA | -- | |
| WA09208 | WA | NORIDIAN SUBMITTER ID |
Post Comment/ Review Below
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) 1891747879, which serves as a unique identifier for healthcare providers, assigned 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 5801 Summitview Ave, in the city of Yakima, state of WA, with the zip code 989083006.
What is the Shopko Stores Operating Co. Llc's area of specialization and corresponding taxonomy classification?
The Shopko Stores Operating Co. Llc's specialty field is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their specialties.
On what date did Shopko Stores Operating Co. Llc receive its 1891747879 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co. Llc was assigned its 1891747879 on 2006-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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 2009-06-05.
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