Shopko Stores Operating Co Llc in Green Bay - Eyewear Supplier
Shopko Stores Operating Co Llc - NPI 1073568242
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 1073568242. The last update date is 2014-06-06.
Shopko Stores Operating Co Llc's current location address is 301 Bay Park Sq, Green Bay, Wisconsin. You can contact this provider via phone number 9204995889 and fax number 9204999215. The mailing address for Shopko Stores Operating Co Llc is 301 Bay Park Sq, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
---|---|
Address | 301 Bay Park Sq, Green Bay, Wisconsin |
Phone Number | 9204995889 |
Fax Number | 9204999215 |
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 | 1073568242 |
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Provider Enumeration Date | 2006-05-24 |
Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
Address | 301 Bay Park Sq |
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City | Green Bay |
State | Wisconsin (WI) |
Post Code | 543045104 |
Phone Number | 9204995889 |
Fax Number | 9204999215 |
Provider's Primary Taxonomy Detail
Speciality | Eyewear Supplier |
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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 |
---|---|---|---|
33017500 | WI | -- | |
5114537 | NCPDP NUMBER |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1073568242?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1073568242. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shopko Stores Operating Co Llc's facilities are geographically located?
The facilities of Shopko Stores Operating Co Llc are physically situated at the following location: 301 Bay Park Sq, Green Bay, WI, 543045104.
What is Shopko Stores Operating Co Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shopko Stores Operating Co Llc is Eyewear Supplier, and the taxonomy code that classifies this field of practice is 332H00000X.
On what date was the 1073568242 assigned to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc was issued its 1073568242 on 2006-05-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Shopko Stores Operating Co Llc's information last updated?
The Shopko Stores Operating Co Llc's information was last updated on 2014-06-06.