Shopko Optical 123

LBN: Shopko Stores Operating Co. Llc
Shopko Optical 123 is an health care organization with primary practice located at 900 Memorial Rd , Houghton MI 49931-2481. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Shopko Stores Operating Co. Llc can be contacted via phone (906) 487-9767, or through Steinhorst, Russell via phone (920) 429-7489.

Contact Information

Primary practice address
900 Memorial Rd Houghton MI 49931-2481
Phone: (906) 487-9767
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Steinhorst, Russell
Phone: (920) 429-7489

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1073565594
LBN Legal business name Shopko Stores Operating Co. Llc
DBA Doing business as Shopko Optical 123
Authorized official Steinhorst, Russell
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Nov 3rd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073565594 NPPES
Other 17876 MEDICARE
Other 35463 MEDICARE
Other 014123 MEDICARE
Other 213121-10 MEDICARE
Other 410985054-4123 MEDICARE
Other 42538 MEDICARE
Other 0P06340 MEDICARE

Popular Providers