Shopko Stores, Inc. in Green Bay - Eyewear Supplier
Shopko Stores, Inc. - NPI 1649215666
Shopko Stores, Inc. is a Eyewear Supplier in Green Bay, Wisconsin. Shopko Stores, Inc. practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Shopko Stores, Inc. is 1649215666. The last update date is 2020-08-22.
Shopko Stores, Inc.'s current location address is Po Box 19060, Green Bay, Wisconsin. You can contact this provider via phone number 9204294218 and fax number 9204295218. The mailing address for Shopko Stores, Inc. is Po Box 19060, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores, Inc. |
|---|---|
| Address | Po Box 19060, Green Bay, Wisconsin |
| Phone Number | 9204294218 |
| Fax Number | 9204295218 |
| 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 | 1649215666 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 19060 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543079060 |
| Phone Number | 9204294218 |
| Fax Number | 9204295218 |
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. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shopko Stores, Inc. by the Centers for Medicare & Medicaid Services?
The Shopko Stores, Inc. has been issued the NPI (National Provider Identifier) 1649215666, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shopko Stores, Inc. is physically located?
The Shopko Stores, Inc. is situated at the following address: Po Box 19060, Green Bay, WI 543079060.
What is Shopko Stores, Inc.'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, Inc. is Eyewear Supplier, and the corresponding taxonomy classification code for this specialized field is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649215666 to Shopko Stores, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1649215666 to Shopko Stores, Inc. on 2006-06-17.
When was the information related to Shopko Stores, Inc. most recently updated or refreshed?
The details pertaining to the Shopko Stores, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.