Shopko Stores Operating Co. Llc in Marinette - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1649222522
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Marinette, 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 1649222522. The last update date is 2008-02-11.
Shopko Stores Operating Co. Llc's current location address is 2741 Roosevelt Rd, Marinette, Wisconsin. You can contact this provider via phone number 7157350260. The mailing address for Shopko Stores Operating Co. Llc is 2741 Roosevelt Rd, Marinette, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 2741 Roosevelt Rd, Marinette, Wisconsin |
| Phone Number | 7157350260 |
| 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 | 1649222522 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 2741 Roosevelt Rd |
|---|---|
| City | Marinette |
| State | Wisconsin (WI) |
| Post Code | 541433833 |
| Phone Number | 7157350260 |
| 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 |
|---|---|---|---|
| 35577 | AVESIS | ||
| 42580 | DAVIS | ||
| 38443800 | WI | -- | |
| CP2230-80 | EYEMED | ||
| 14102 | VIP | ||
| 13862 | MEDICARE | ||
| 410985054-4102 | NVA |
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What is the Shopko Stores Operating Co. Llc's 1649222522?
The Shopko Stores Operating Co. Llc's NPI (National Provider Identifier) Number is 1649222522. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shopko Stores Operating Co. Llc located?
The Shopko Stores Operating Co. Llc is located at 2741 Roosevelt Rd, Marinette, WI 541433833.
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.
When did Shopko Stores Operating Co. Llc receive its 1649222522 assignment?
The Shopko Stores Operating Co. Llc was assigned its 1649222522 on 2006-05-17, which is the date when this unique identifier was issued to the organization.
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 2008-02-11.