Shopko Stores Operating Co Llc in Green Bay - Eyewear Supplier
Shopko Stores Operating Co Llc - NPI 1831144070
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 1831144070. The last update date is 2014-05-22.
Shopko Stores Operating Co Llc's current location address is 2585 Lineville Rd, Green Bay, Wisconsin. You can contact this provider via phone number 9206629450 and fax number 9206621912. The mailing address for Shopko Stores Operating Co Llc is 2585 Lineville Rd, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
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Address | 2585 Lineville Rd, Green Bay, Wisconsin |
Phone Number | 9206629450 |
Fax Number | 9206621912 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SR. VICE P |
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Authorized Official Name | Bettiga J Michael |
Credentials | RPH |
Telephone Number | 9204294297 |
NPI Number Detail
NPI Number | 1831144070 |
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Provider Enumeration Date | 2006-05-24 |
Last Updated Date | 2014-05-22 |
Provider Mailing Address Detail
Address | 2585 Lineville Rd |
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City | Green Bay |
State | Wisconsin (WI) |
Post Code | 543137122 |
Phone Number | 9206629450 |
Fax Number | 9206621912 |
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 |
---|---|---|---|
5128168 | NCPDP NUMBER | ||
33279000 | WI | -- |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1831144070?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1831144070. 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 physical address where Shopko Stores Operating Co Llc is located?
The Shopko Stores Operating Co Llc is situated at the following address: 2585 Lineville Rd, Green Bay, WI, 543137122.
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 1831144070 assignment?
The Shopko Stores Operating Co Llc was assigned its 1831144070 on 2006-05-24, which is the date when this unique identifier was issued to the organization.
As of what date were the Shopko Stores Operating Co Llc's details last updated?
The information pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other details, was most recently updated on 2014-05-22.