Shopko Stores Operating Co. Llc in Watertown - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1457303455
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Watertown, 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 1457303455. The last update date is 2008-02-11.
Shopko Stores Operating Co. Llc's current location address is 701 S Church St, Watertown, Wisconsin. You can contact this provider via phone number 9202619225. The mailing address for Shopko Stores Operating Co. Llc is 701 S Church St, Watertown, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 701 S Church St, Watertown, Wisconsin |
| Phone Number | 9202619225 |
| 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 | 1457303455 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 701 S Church St |
|---|---|
| City | Watertown |
| State | Wisconsin (WI) |
| Post Code | 530946213 |
| Phone Number | 9202619225 |
| 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 |
|---|---|---|---|
| 38413000 | WI | -- | |
| 17643 | MEDICARE | ||
| 410985054-4019 | NVA | ||
| CP2230-92 | EYEMED | ||
| 14019 | VIP | ||
| 42606 | DAVIS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shopko Stores Operating Co. Llc?
The Shopko Stores Operating Co. Llc has been issued the NPI (National Provider Identifier) 1457303455 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number 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 701 S Church St, in the city of Watertown, state of WI, with the zip code 530946213.
What is the area of specialization for Shopko Stores Operating Co. Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shopko Stores Operating Co. Llc is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 332H00000X.
On what date was the 1457303455 assigned to Shopko Stores Operating Co. Llc?
The Shopko Stores Operating Co. Llc was issued its 1457303455 on 2006-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Shopko Stores Operating Co. Llc last refreshed?
The information related to the Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was last updated on 2008-02-11.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH