Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is an Optician in Chubbuck, Idaho. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4215 Yellowstone AveChubbuck, ID 83202-2419
Phone: (208) 237-6822
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Eyewear Supplier (primary) | Taxonomy 332H00000X |
|---|---|
| Optician | Taxonomy 156FX1800X |
Record details
| NPI number | 1336191436 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297 |
| Other names | Shopko Optical 063 |
| NPI enumerated | May 17, 2006 |
| Last updated in NPPES | August 3, 2009 |
| Mailing address | 4215 Yellowstone Ave, Chubbuck, ID 83202-2419 |