Shopko Stores Operating Company in Green Bay - Optometrist
Shopko Stores Operating Company - NPI 1962452052
Shopko Stores Operating Company is a Optometrist in Green Bay, Wisconsin. Shopko Stores Operating Company practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Shopko Stores Operating Company is 1962452052. The last update date is 2020-08-22.
Shopko Stores Operating Company's current location address is 2430 E Mason St, Green Bay, Wisconsin. You can contact this provider via phone number 9204684642 and fax number 9204683490. The mailing address for Shopko Stores Operating Company is 2430 E Mason St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Company |
---|---|
Address | 2430 E Mason St, Green Bay, Wisconsin |
Phone Number | 9204684642 |
Fax Number | 9204683490 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OPTOMETRIS |
---|---|
Authorized Official Name | Schmonsky L James |
Credentials | OD |
Telephone Number | 9204684642 |
NPI Number Detail
NPI Number | 1962452052 |
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Provider Enumeration Date | 2006-05-11 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2430 E Mason St |
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City | Green Bay |
State | Wisconsin (WI) |
Post Code | 543023759 |
Phone Number | 9204684642 |
Fax Number | 9204683490 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
---|---|
Taxonomy | 152W00000X |
Licence No | 1643-035 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
38403100 | WI | -- |
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What is the unique 10-digit identification code issued to Shopko Stores Operating Company by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Company has been assigned the NPI (National Provider Identifier) 1962452052 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Shopko Stores Operating Company located?
The Shopko Stores Operating Company is located at 2430 E Mason St, Green Bay, WI 543023759.
What is Shopko Stores Operating Company's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shopko Stores Operating Company is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
When was the Shopko Stores Operating Company's 1962452052 issued?
The Shopko Stores Operating Company's 1962452052 was issued on 2006-05-11.
As of what date was the information regarding Shopko Stores Operating Company, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shopko Stores Operating Company, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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