Shopko Stores Operating Co. Llc in Monroe - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1124071758
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Monroe, 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 1124071758. The last update date is 2008-02-11.
Shopko Stores Operating Co. Llc's current location address is 405 W 8th St, Monroe, Wisconsin. You can contact this provider via phone number 6083283333. The mailing address for Shopko Stores Operating Co. Llc is 405 W 8th St, Monroe, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 405 W 8th St, Monroe, Wisconsin |
| Phone Number | 6083283333 |
| 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 | 1124071758 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 405 W 8th St |
|---|---|
| City | Monroe |
| State | Wisconsin (WI) |
| Post Code | 535661063 |
| Phone Number | 6083283333 |
| 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 |
|---|---|---|---|
| 38710500 | WI | -- | |
| 41098054-4123 | NVA | ||
| 17661 | MEDICARE | ||
| 14120 | VIP | ||
| 42532 | DAVIS | ||
| CP2230-82 | EYEMED |
Post Comment/ Review Below
What is the unique identifier 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) 1124071758. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Shopko Stores Operating Co. Llc is physically located?
The Shopko Stores Operating Co. Llc is physically situated at the following address: 405 W 8Th St, Monroe, WI, 535661063.
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 was the Shopko Stores Operating Co. Llc's 1124071758 issued?
The Shopko Stores Operating Co. Llc's 1124071758 was issued on 2006-05-17.
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 2008-02-11.
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