Shopko Stores Operating Co. Llc in De Pere - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1407808496
Shopko Stores Operating Co. Llc is a Eyewear Supplier in De Pere, Wisconsin. Shopko Stores Operating Co. Llc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Shopko Stores Operating Co. Llc is 1407808496. The last update date is 2008-02-11.
Shopko Stores Operating Co. Llc's current location address is 230 N Wisconsin St, De Pere, Wisconsin. You can contact this provider via phone number 9203363390. The mailing address for Shopko Stores Operating Co. Llc is 230 N Wisconsin St, De Pere, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 230 N Wisconsin St, De Pere, Wisconsin |
| Phone Number | 9203363390 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VICE P |
|---|---|
| Authorized Official Name | Bettiga J Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1407808496 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 230 N Wisconsin St |
|---|---|
| City | De Pere |
| State | Wisconsin (WI) |
| Post Code | 541152735 |
| Phone Number | 9203363390 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14005 | VIP | ||
| 17637 | MEDICARE | ||
| CP2230-70 | EYEMED | ||
| 38428900 | WI | -- | |
| 410985054-4005 | NVA | ||
| 42523 | DAVIS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Shopko Stores Operating Co. Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co. Llc has been issued the NPI (National Provider Identifier) 1407808496 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Shopko Stores Operating Co. Llc is geographically located?
The Shopko Stores Operating Co. Llc is physically situated at the following location: 230 N Wisconsin St, De Pere, WI, 541152735.
What is Shopko Stores Operating Co. Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shopko Stores Operating Co. Llc is Eyewear Supplier, and the corresponding taxonomy classification code for this specialized field is 332H00000X.
When did the Shopko Stores Operating Co. Llc receive its 1407808496?
The Shopko Stores Operating Co. Llc was issued its 1407808496 on 2006-05-17, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Shopko Stores Operating Co. Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-11.
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