Shopko Stores Operating Co Llc in Sussex - Eyewear Supplier
Shopko Stores Operating Co Llc - NPI 1982865945
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 1982865945. The last update date is 2014-07-25.
Shopko Stores Operating Co Llc's current location address is N 66 W 25201, Sussex, Wisconsin. You can contact this provider via phone number 2628202611 and fax number 2628202592. The mailing address for Shopko Stores Operating Co Llc is N 66 W 25201, Sussex, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | N 66 W 25201, Sussex, Wisconsin |
| Phone Number | 2628202611 |
| Fax Number | 2628202592 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR VICE PR |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1982865945 |
|---|---|
| Provider Enumeration Date | 2008-06-23 |
| Last Updated Date | 2014-07-25 |
Provider Mailing Address Detail
| Address | N 66 W 25201 |
|---|---|
| City | Sussex |
| State | Wisconsin (WI) |
| Post Code | 53089 |
| Phone Number | 2628202611 |
| Fax Number | 2628202592 |
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 |
|---|---|---|---|
| 5131014 | NCPDP # | ||
| 488000297 | MEDCO | ||
| 36229200 | 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) 1982865945 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Shopko Stores Operating Co Llc is geographically located?
The Shopko Stores Operating Co Llc is physically situated at the following location: N 66 W 25201, Sussex, WI, 53089.
What is the area of specialization for Shopko Stores Operating Co Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shopko Stores Operating Co Llc is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 332H00000X.
When did Shopko Stores Operating Co Llc receive its 1982865945 assignment?
The Shopko Stores Operating Co Llc was assigned its 1982865945 on 2008-06-23, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Shopko Stores Operating Co Llc most recently updated or revised?
The details related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last updated or revised on 2014-07-25.