Shopko Stores Operating Co. Llc in La Crosse - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1548213184
Shopko Stores Operating Co. Llc is a Eyewear Supplier in La Crosse, 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 1548213184. The last update date is 2008-02-08.
Shopko Stores Operating Co. Llc's current location address is 4344 Mormon Coulee Rd, La Crosse, Wisconsin. You can contact this provider via phone number 6087888800. The mailing address for Shopko Stores Operating Co. Llc is 4344 Mormon Coulee Rd, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 4344 Mormon Coulee Rd, La Crosse, Wisconsin |
| Phone Number | 6087888800 |
| 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 | 1548213184 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-02-08 |
Provider Mailing Address Detail
| Address | 4344 Mormon Coulee Rd |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 546017908 |
| Phone Number | 6087888800 |
| 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 |
|---|---|---|---|
| 38423700 | WI | -- | |
| 42527 | DAVIS | ||
| 87829 | MEDICARE | ||
| CP2230-75 | EYEMED | ||
| 35570 | AVESIS | ||
| 14007 | VIP | ||
| 17638 | MEDICARE |
Post Comment/ Review Below
What is the unique 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) 1548213184. This 10-digit code 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: 4344 Mormon Coulee Rd, La Crosse, WI, 546017908.
What is Shopko Stores Operating Co. Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shopko Stores Operating Co. Llc's specialized field of practice is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 332H00000X.
When did Shopko Stores Operating Co. Llc receive its 1548213184 assignment?
The Shopko Stores Operating Co. Llc was assigned its 1548213184 on 2006-05-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Shopko Stores Operating Co. Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-08.