Shopko Stores Operating Co. Llc in Onalaska - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1972556694
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Onalaska, 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 1972556694. The last update date is 2008-02-11.
Shopko Stores Operating Co. Llc's current location address is 9366 State Road 16, Onalaska, Wisconsin. You can contact this provider via phone number 6087812010. The mailing address for Shopko Stores Operating Co. Llc is 9366 State Road 16, Onalaska, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 9366 State Road 16, Onalaska, Wisconsin |
| Phone Number | 6087812010 |
| 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 | 1972556694 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 9366 State Road 16 |
|---|---|
| City | Onalaska |
| State | Wisconsin (WI) |
| Post Code | 546508526 |
| Phone Number | 6087812010 |
| 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 |
|---|---|---|---|
| CP2230-84 | EYEMED | ||
| 42583 | DAVIS | ||
| 14099 | VIP | ||
| 17658 | MEDICARE | ||
| 410985054-4099 | NVA | ||
| 35581 | AVESIS | ||
| 38442000 | WI | -- |
Post Comment/ Review Below
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) 1972556694 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Shopko Stores Operating Co. Llc?
The Shopko Stores Operating Co. Llc is situated at 9366 State Road 16, in the city of Onalaska, state of WI, with the zip code 546508526.
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.
On what date did the Centers for Medicare & Medicaid Services assign the 1972556694 to Shopko Stores Operating Co. Llc?
The Centers for Medicare & Medicaid Services assigned the 1972556694 to Shopko Stores Operating Co. Llc on 2006-05-17.
As of what date were the details related to Shopko Stores Operating Co. Llc most recently updated or revised?
The information pertaining to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-11.