Shopko Stores Operating Co. Llc in Green Bay - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1649223413
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 1649223413. The last update date is 2008-02-11.
Shopko Stores Operating Co. Llc's current location address is 2430 E Mason St, Green Bay, Wisconsin. You can contact this provider via phone number 9204684642. The mailing address for Shopko Stores Operating Co. Llc is 2430 E Mason St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 2430 E Mason St, Green Bay, Wisconsin |
| Phone Number | 9204684642 |
| 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 | 1649223413 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 2430 E Mason St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543023759 |
| Phone Number | 9204684642 |
| 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 |
|---|---|---|---|
| 17636 | MEDICARE | ||
| 38403100 | WI | -- | |
| 14004 | VIP | ||
| 410985054-4004 | NVA | ||
| 42520 | DAVIS |
Post Comment/ Review Below
What is the unique 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) 1649223413. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Shopko Stores Operating Co. Llc's facilities are situated?
The facilities of Shopko Stores Operating Co. Llc are physically located at the following address: 2430 E Mason St, Green Bay, WI, 543023759.
What is Shopko Stores Operating Co. Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shopko Stores Operating Co. Llc is Eyewear Supplier, and the taxonomy classification code that categorizes this area of expertise is 332H00000X.
When did Shopko Stores Operating Co. Llc receive its 1649223413 assignment?
The Shopko Stores Operating Co. Llc was assigned its 1649223413 on 2006-05-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Shopko Stores Operating Co. Llc most recently updated or revised?
The information pertaining to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-11.
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