Shopko Stores Operating Co. Llc in Wisconsin Rapids - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1265484265
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Wisconsin Rapids, 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 1265484265. The last update date is 2008-02-11.
Shopko Stores Operating Co. Llc's current location address is 1100 E Riverview Expy, Wisconsin Rapids, Wisconsin. You can contact this provider via phone number 7154231340. The mailing address for Shopko Stores Operating Co. Llc is 1100 E Riverview Expy, Wisconsin Rapids, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 1100 E Riverview Expy, Wisconsin Rapids, Wisconsin |
| Phone Number | 7154231340 |
| 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 | 1265484265 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 1100 E Riverview Expy |
|---|---|
| City | Wisconsin Rapids |
| State | Wisconsin (WI) |
| Post Code | 544945483 |
| Phone Number | 7154231340 |
| 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 |
|---|---|---|---|
| 14012 | VIP | ||
| 13864 | MEDICARE | ||
| 35595 | AVESIS | ||
| 410985054-4012 | NVA | ||
| 42587 | DAVIS | ||
| 38409000 | WI | -- | |
| CP2230-93 | EYEMED | ||
| 87832 | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit 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) 1265484265, which serves as a unique identifier for healthcare providers, assigned 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: 1100 E Riverview Expy, Wisconsin Rapids, WI, 544945483.
What is Shopko Stores Operating Co. Llc's area of expertise and its corresponding taxonomy classification?
The Shopko Stores Operating Co. Llc's field of specialization is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their areas of practice.
When did Shopko Stores Operating Co. Llc receive its 1265484265 assignment?
The Shopko Stores Operating Co. Llc was assigned its 1265484265 on 2006-05-17, which is the date when this unique identifier was issued to the organization.
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: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM