Shopko Stores Operating Co Llc in Sussex - Eyewear Supplier
Shopko Stores Operating Co Llc - NPI 1316108376
Shopko Stores Operating Co Llc is a Eyewear Supplier in Sussex, 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 1316108376. The last update date is 2008-09-10.
Shopko Stores Operating Co Llc's current location address is N66 W25201 Cth V V, Sussex, Wisconsin. You can contact this provider via phone number 2628202611. The mailing address for Shopko Stores Operating Co Llc is N66 W25201 Cth V V, Sussex, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | N66 W25201 Cth V V, Sussex, Wisconsin |
| Phone Number | 2628202611 |
| 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 | 1316108376 |
|---|---|
| Provider Enumeration Date | 2008-06-23 |
| Last Updated Date | 2008-09-10 |
Provider Mailing Address Detail
| Address | N66 W25201 Cth V V |
|---|---|
| City | Sussex |
| State | Wisconsin (WI) |
| Post Code | 53089 |
| Phone Number | 2628202611 |
| 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 |
|---|---|---|---|
| 38461500 | WI | -- |
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) 1316108376 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as 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 N66 W25201 Cth V V, in the city of Sussex, state of WI, with the zip code 53089.
What is the Shopko Stores Operating Co Llc's specialty and taxonomy code?
The Shopko Stores Operating Co Llc's specialty is Eyewear Supplier, and the corresponding taxonomy code is 332H00000X.
When did Shopko Stores Operating Co Llc receive its 1316108376 assignment?
The Shopko Stores Operating Co Llc was assigned its 1316108376 on 2008-06-23, which is the date when this unique identifier was issued to the organization.
When was the Shopko Stores Operating Co Llc's information last updated?
The Shopko Stores Operating Co Llc's information was last updated on 2008-09-10.
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