Shopko Optical 4069

LBN: Shoptikal Llc
Shopko Optical 4069 is an health care organization with primary practice located at 212 W Ironwood Dr Ste B&C , Coeur D Alene ID 83814-1403. 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. Shoptikal Llc can be contacted via phone (208) 765-8078, or through Eisen, James via phone (920) 429-7549.

Contact Information

Primary practice address
212 W Ironwood Dr Ste B&C Coeur D Alene ID 83814-1403
Phone: (208) 765-8078
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eisen, James
Phone: (920) 429-7549

Health care specialties

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

Profile Details

NPI number 1063078442
LBN Legal business name Shoptikal Llc
DBA Doing business as Shopko Optical 4069
Authorized official Eisen, James
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2019
Last updated Sep 12th, 2019 - about 6 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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