Shopko Stores Operating Co Llc in Green Bay - Eyewear Supplier
Shopko Stores Operating Co Llc - NPI 1942483342
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 1942483342. The last update date is 2008-04-20.
Shopko Stores Operating Co Llc's current location address is 2320 Lineville Rd, Green Bay, Wisconsin. You can contact this provider via phone number 9204345845. 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 | 9204345845 |
| 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 | 1942483342 |
|---|---|
| Provider Enumeration Date | 2007-12-10 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 2320 Lineville Rd |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543138836 |
| Phone Number | 9204345845 |
| 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 |
|---|---|---|---|
| 47608 | AVESIS | ||
| 1952356644 | UNTIED HEALTHCARE | ||
| 38461000 | WI | -- | |
| 146151 | EYEMED | ||
| 1952356644 | NETWORK HEALTH | ||
| 125950 | VIP | ||
| 58936 | DAVIS | ||
| DF0804 | RR MC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc has been issued the NPI (National Provider Identifier) 1942483342 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Shopko Stores Operating Co Llc is physically located?
The Shopko Stores Operating Co Llc is physically situated at the following address: 2320 Lineville Rd, Green Bay, WI, 543138836.
What is Shopko Stores Operating Co Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shopko Stores Operating Co Llc's specialized field of practice is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942483342 to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc received its 1942483342 assignment from the Centers for Medicare & Medicaid Services on 2007-12-10.
When was the information related to Shopko Stores Operating Co Llc most recently updated or refreshed?
The details pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-20.