Shopko Stores Operating Co. Llc in Madison - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1518919513
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Madison, 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 1518919513. The last update date is 2008-02-11.
Shopko Stores Operating Co. Llc's current location address is 2602 Shopko Dr, Madison, Wisconsin. You can contact this provider via phone number 6082496967. The mailing address for Shopko Stores Operating Co. Llc is 2602 Shopko Dr, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 2602 Shopko Dr, Madison, Wisconsin |
| Phone Number | 6082496967 |
| 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 | 1518919513 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 2602 Shopko Dr |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537044074 |
| Phone Number | 6082496967 |
| 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 |
|---|---|---|---|
| 14034 | VIP | ||
| 35573 | AVESIS | ||
| 42616 | DAVIS | ||
| CP2230-77 | EYEMED | ||
| 17651 | MEDICARE | ||
| 410985054-4034 | NVA | ||
| 38418400 | WI | -- |
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) 1518919513 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Shopko Stores Operating Co. Llc?
The Shopko Stores Operating Co. Llc is situated at 2602 Shopko Dr, in the city of Madison, state of WI, with the zip code 537044074.
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 the assignment of its 1518919513 from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co. Llc was issued its 1518919513 by the Centers for Medicare & Medicaid Services on 2006-05-17.
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.