Shopko Stores Operating Co. Llc in Green Bay - Eyewear Supplier

Shopko Stores Operating Co. Llc - NPI 1952356644

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 1952356644. The last update date is 2007-10-12.

Shopko Stores Operating Co. Llc'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 Operating Co. Llc is Po Box 19060, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co. Llc
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 1952356644
Provider Enumeration Date 2006-05-23
Last Updated Date 2007-10-12

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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FAQs about Shopko Stores Operating Co. Llc

What is the unique 10-digit identification code issued to Shopko Stores Operating Co. Llc by the Centers for Medicare & Medicaid Services?

The Shopko Stores Operating Co. Llc has been assigned the NPI (National Provider Identifier) 1952356644 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 Co. Llc located?

The Shopko Stores Operating Co. Llc is located at Po Box 19060, Green Bay, WI 543079060.

What is Shopko Stores Operating Co. Llc'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 Co. Llc is Eyewear Supplier, and the taxonomy classification code that categorizes this area of expertise is 332H00000X.

When did Shopko Stores Operating Co. Llc receive its 1952356644 assignment?

The Shopko Stores Operating Co. Llc was assigned its 1952356644 on 2006-05-23, which is the date when this unique identifier was issued to the organization.

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 2007-10-12.

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