Shopko Stores Operating Co Llc in Green Bay - Eyewear Supplier
Shopko Stores Operating Co Llc - NPI 1033392436
Shopko Stores Operating Co Llc is a Eyewear Supplier in Green Bay, 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 1033392436. The last update date is 2013-10-28.
Shopko Stores Operating Co Llc's current location address is 2320 Lineville Rd, Green Bay, Wisconsin. You can contact this provider via phone number 9204345846. The mailing address for Shopko Stores Operating Co Llc is 2320 Lineville Rd, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 2320 Lineville Rd, Green Bay, Wisconsin |
| Phone Number | 9204345846 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VICE P |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1033392436 |
|---|---|
| Provider Enumeration Date | 2007-12-10 |
| Last Updated Date | 2013-10-28 |
Provider Mailing Address Detail
| Address | 2320 Lineville Rd |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543138836 |
| Phone Number | 9204345846 |
| 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 |
|---|---|---|---|
| 36224100 | WI | -- | |
| 5130430 | NCPDP |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1033392436?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1033392436. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shopko Stores Operating Co Llc is physically located?
The Shopko Stores Operating Co Llc is situated at the following address: 2320 Lineville Rd, Green Bay, WI 543138836.
What is the Shopko Stores Operating Co Llc's specialty and taxonomy code?
The Shopko Stores Operating Co Llc's specialty is Eyewear Supplier, and the corresponding taxonomy code is 332H00000X.
On what date did Shopko Stores Operating Co Llc receive its 1033392436 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1033392436 on 2007-12-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Shopko Stores Operating Co Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-10-28.
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