Shopko Optical 180
LBN: Shopko Stores Operating Co Llc
Shopko Optical 180 is an health care organization with primary practice located at 3271 Marketplace Dr , Council Bluffs IA 51501-7908. 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 (712) 366-0706, or through Bettiga, Michael via phone (920) 429-4297.
Contact Information
Primary practice address
3271 Marketplace Dr
Council Bluffs IA 51501-7908
Phone: (712) 366-0706
Fax: (712) 366-9020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1366608440 |
|---|---|
| LBN Legal business name | Shopko Stores Operating Co Llc |
| DBA Doing business as | Shopko Optical 180 |
| Authorized official | Bettiga, Michael RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 29th, 2008 |
| Last updated | Aug 24th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366608440 | NPPES |
| Other | 1366608440 | WELLMARK BCBS IA | |
| Other | 51451 | WELLMARK BCBS IA | |
| Other | A00793 | WELLMARK BCBS IA | |
| Other | 62213 | WELLMARK BCBS IA | |
| Other | 135093 | WELLMARK BCBS IA |
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