Shopko Stores Operating Co. LLC
Eyewear Supplier (Equipment, not the service) in Meridian, ID. Organization (NPI-2).
NPI number1184677759
StatusActive
Last updated in NPPESAug 3, 2009
Details
- NPI
- 1184677759
- Entity type
- Organization (NPI-2)
- Legal business name
- Shopko Stores Operating Co. LLC
- Organization subpart
- No
- Enumeration date
- May 18, 2006
- Last updated
- Aug 3, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
| 156FX1800X | Technician/Technologist, Optician | – | – |
Other names
- Shopko Optical 169 (Doing Business As)
Practice location
3499 E Fairview AveMeridian, ID 83642-5848
Phone 208-884-1362
Mailing address
3499 E Fairview AveMeridian, ID 83642-5848
Phone 208-884-1362
Authorized official
Michael J Bettiga
Sr. Vice President Health Services
9204294297
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Eyewear Supplier providers in Meridian, ID
- Costco Wholesale CorporationNPI 1518877828
- Costco Wholesale CorporationNPI 1669090106
- Eyemart Express LLCNPI 1801541172
- Wal-Mart Stores, INCNPI 1356431514
- Wal-Mart Stores, INC.NPI 1831567353
- Wal-Mart Stores, INC.NPI 1972941557
- Warby Parker INC.NPI 1538916119
All 8 Eyewear Supplier providers in Meridian · All 4,112 providers in Meridian
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.