Shopko Optical 053

LBN: Shopko Stores Operating Co. Llc
Shopko Optical 053 is an health care organization with primary practice located at 510 E Philip Ave , North Platte NE 69101-5538. 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 (308) 534-7271, or through Bettiga, Michael J via phone (920) 429-4297.

Contact Information

Primary practice address
510 E Philip Ave North Platte NE 69101-5538
Phone: (308) 534-7271
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bettiga, Michael J RPH
Phone: (920) 429-4297

Health care specialties

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

Profile Details

NPI number 1336191501
LBN Legal business name Shopko Stores Operating Co. Llc
DBA Doing business as Shopko Optical 053
Authorized official Bettiga, Michael J RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Feb 11th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336191501 NPPES
Other 014053 VIP
Other 35502 VIP
Other 35865 VIP
Other CP2230-29 VIP
Other 096219 VIP
MEDICAID 41098505403 VIP
Other 007127 VIP
Other 17889 VIP

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