Shopko Stores Operating Co. Llc in Green Bay - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1346292430
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Green Bay, 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 1346292430. The last update date is 2008-02-08.
Shopko Stores Operating Co. Llc's current location address is 216 S Military Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204943384. The mailing address for Shopko Stores Operating Co. Llc is 216 S Military Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 216 S Military Ave, Green Bay, Wisconsin |
| Phone Number | 9204943384 |
| 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 | 1346292430 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-02-08 |
Provider Mailing Address Detail
| Address | 216 S Military Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543032498 |
| Phone Number | 9204943384 |
| 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 |
|---|---|---|---|
| 42495 | DAVIS | ||
| 17634 | MEDICARE | ||
| 410985054-4001 | NVA | ||
| 38403000 | WI | -- | |
| 14001 | VIP | ||
| CP2230-68 | EYEMED |
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) 1346292430, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shopko Stores Operating Co. Llc's facilities are geographically located?
The facilities of Shopko Stores Operating Co. Llc are physically situated at the following location: 216 S Military Ave, Green Bay, WI, 543032498.
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.
On what date did the Centers for Medicare & Medicaid Services assign the 1346292430 to Shopko Stores Operating Co. Llc?
The Centers for Medicare & Medicaid Services assigned the 1346292430 to Shopko Stores Operating Co. Llc on 2006-05-17.
When was the information regarding Shopko Stores Operating Co. Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-08.