Shopko Stores Operating Co. Llc in Green Bay - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1093767139
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 1093767139. The last update date is 2008-02-08.
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 9204993511. 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 | 9204993511 |
| 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 | 1093767139 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-02-08 |
Provider Mailing Address Detail
| Address | 301 Bay Park Sq |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543045104 |
| Phone Number | 9204993511 |
| 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 |
|---|---|---|---|
| CP2230-69 | EYEMED | ||
| 14002 | VIP | ||
| 42501 | DAVIS | ||
| 38410200 | WI | -- | |
| 410985054-4002 | NVA | ||
| 17635 | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1093767139 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
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: 301 Bay Park Sq, Green Bay, WI 543045104.
What is Shopko Stores Operating Co. Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shopko Stores Operating Co. Llc is Eyewear Supplier, and the taxonomy code that categorizes this field of expertise is 332H00000X.
On what date did the Shopko Stores Operating Co. Llc receive its 1093767139 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co. Llc was assigned its 1093767139 by the Centers for Medicare & Medicaid Services on 2006-05-17.
When was the information pertaining to Shopko Stores Operating Co. Llc most recently updated or revised?
The details related to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-08.