SHOPTIKAL LLC NPI 1407412885

NPI Information

NPI: 1407412885
Provider Name: SHOPTIKAL LLC

Doing Business As: SHOPKO OPTICAL 4084

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1520 W 9000 S STE E
WEST JORDAN, UT
ZIP 84088
Phone: (801) 561-7300
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SHOPTIKAL LLC is an eyewear supplier in West Jordan, UT. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SHOPTIKAL LLC NPI is 1407412885. The provider is registered as an organization entity type.
The provider Is Doing Business As Shopko Optical 4084.

The provider's business location address is:

1520 W 9000 S STE E
WEST JORDAN, UT
ZIP 84088-001
Phone: (801) 561-7300

The provider's authorized official is Russell Steinhorst .
The authorized official title is Ceo and has the following contact phone number (920) 429-7489.

The enumeration date for this NPI number is 5/11/2019 and was last updated on 10/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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