Shopko Stores Operating Co. Llc in Fort Atkinson - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1053363010
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Fort Atkinson, 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 1053363010. The last update date is 2008-02-11.
Shopko Stores Operating Co. Llc's current location address is 1425 Janesville Ave, Fort Atkinson, Wisconsin. You can contact this provider via phone number 9205632171. The mailing address for Shopko Stores Operating Co. Llc is 1425 Janesville Ave, Fort Atkinson, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 1425 Janesville Ave, Fort Atkinson, Wisconsin |
| Phone Number | 9205632171 |
| 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 | 1053363010 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 1425 Janesville Ave |
|---|---|
| City | Fort Atkinson |
| State | Wisconsin (WI) |
| Post Code | 535382705 |
| Phone Number | 9205632171 |
| 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 |
|---|---|---|---|
| 17655 | MEDICARE | ||
| 38450700 | WI | -- | |
| 410985054-4051 | NVA | ||
| CP2230-67 | EYEMED | ||
| 14051 | VIP | ||
| 42598 | DAVIS | ||
| 35561 | AVESIS |
Post Comment/ Review Below
What is the unique 10-digit identification 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) 1053363010, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Shopko Stores Operating Co. Llc's facilities are situated?
The facilities of Shopko Stores Operating Co. Llc are physically located at the following address: 1425 Janesville Ave, Fort Atkinson, WI, 535382705.
What is Shopko Stores Operating Co. Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shopko Stores Operating Co. Llc is Eyewear Supplier, and the taxonomy code that categorizes this field of expertise is 332H00000X.
On what date did Shopko Stores Operating Co. Llc receive its 1053363010 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co. Llc was assigned its 1053363010 on 2006-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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.