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Shopko Stores Operating Co. Llc
Eyewear Supplier in Bountiful, Utah
NPI 1205889078

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Bountiful, UT. Shopko Stores Operating Co. Llc practices in Bountiful, UT. The NPI Number for Shopko Stores Operating Co. Llc is 1205889078 and holds a License No. (Utah).

The current practice location address for Shopko Stores Operating Co. Llc is 190 S 500 W, Bountiful, UT and can be reached out via phone at 801-295-9200.

Location: 190 S 500 W, Bountiful, UT, 84010-8729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205889078
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
190 S 500 W, Bountiful, UT, 84010-8729
Phone Number
801-295-9200
Fax Number
Provider Enumeration Date
05/19/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
17929 01 MEDICARE
014107 01 VIP
UT04877 01 UT NORIDIAN SUBMITTER ID
CP2230-53 01 EYEMED
42591 01 DAVIS
35537 01 AVESIS
410985054-229 05 UT
institution
Provider Business Practice Location Address Details
Address
190 S 500 W
City
Bountiful
State
Utah
Zip
84010-8729
Phone Number
801-295-9200
Fax Number
person
Provider Business Mailing Address Details
Address
190 S 500 W
City
Bountiful
State
Utah
Zip
84010-8729
Phone Number
801-295-9200
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
()
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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