Shopko Stores Operating Co. Llc, NPI 1700839545
Eyewear Supplier in Brigham City, UT, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1700839545 |
| NPI Entity Type | Organization |
| Provider Name |
Shopko Stores Operating Co. Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 747 S Main St, Brigham City, UT, US |
| Provider Mailing Address | 747 S Main St, Brigham City, UT, US, 843023359 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | RPH Michael J Bettiga |
| Official Position | SR. VICE PRESIDENT HEALTH SERVICES |
| Phone | 920-429-4297 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Eyewear Supplier |
| Classification | |
| Group | |
| Description | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 35524 | AVESIS | 01 | |
| 17927 | MEDICARE | 01 | |
| 410985054-165 | UT | MEDICAID | 05 |
| CP2230-41 | EYEMED | 01 | |
| 014104 | VIP | 01 | |
| UT04883 | UT | NORIDIAN SUBMITTER ID | 01 |
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