Shopko Stores Operating Co. Llc, NPI 1124071758
Eyewear Supplier in Monroe, WI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1124071758
NPI Entity Type Organization
Provider Name Shopko Stores Operating Co. Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 405 W 8th St, Monroe, WI, US
Provider Mailing Address 405 W 8th St, Monroe, WI, US, 535661063
Is Sole Proprietor? No
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Organization Official

Official Name RPH Michael J Bettiga
Official Position SR. VICE PRESIDENT HEALTH SERVICES
Phone 920-429-4297

Primary Taxonomy

Taxonomy Code

332H00000X

Taxonomy Name Eyewear Supplier
Classification

Eyewear Supplier

Group

Suppliers

Description An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Other Organization Name

ShopKo Optical 120
Doing Business As

Business Address

Shopko Stores Operating Co. Llc
405 W 8th St

Monroe, WI, US

Phone: 608-328-3333

Mailing Address

Shopko Stores Operating Co. Llc
405 W 8th St
Monroe, WI, US
ZIP 535661063
Phone: 608-328-3333

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
38710500 WI MEDICAID 05
41098054-4123 NVA 01
17661 MEDICARE 01
014120 VIP 01
42532 DAVIS 01
CP2230-82 EYEMED 01

Other Providers in WI, US

NPI Name Taxonomy Address

1205582921

Timothy H Mcdonough

Individual

Medical Physician Assistant

600 Highland Ave

Madison, WI

1265832497

PA-C Jennifer Parnell

Individual

Physician Assistant

1300 South Drive

Oshkosh, WI

1578570974

Dean Health Systems, Inc

Organization

Comprehensive Outpatient Rehabilitation Facility (CORF)

1821 S Stoughton Rd

Madison, WI

1306426044

DDS Katherine Anne Knabe

Individual

General Practice Dentistry

5337 W Grande Market Dr

Appleton, WI

1811612187

PA(ASCP) Amanda Katsma

Individual

Pathology Technician

5000 W National Ave

Milwaukee, WI

1669109641

MRS. APNP, PMHNP-BC Tilly Burroughs

Individual

Psychiatric/Mental Health Nurse Practitioner

1114 56th St

Kenosha, WI

1881319242

Shong Chang

Individual

Physical Therapy Assistant

10 Tower Dr

Sun Prairie, WI

1578288924

Golden Medical Transportation Llc

Organization

Non-emergency Medical Transport (VAN)

1740 E Mason St # 5

Green Bay, WI

1043862386

LCSW, SAC-IT Alexandra Duvall

Individual

Clinical Social Worker

540 College St

Medford, WI

1073238424

D-PT Rachel Ann Lohrengel

Individual

Physical Therapist

744 S Webster Ave

Green Bay, WI

1225531353

LPC Rebecca A Richards

Individual

Professional Counselor

820 Washington St

Manitowoc, WI

1932468576

DR. D.O. Meredith Caroline Schaffner

Individual

Medical Oncology Physician

1836 South Ave

La Crosse, WI

1396460739

Rebecca Fafard

Individual

Case Manager/Care Coordinator

702 W Main St

Madison, WI

1811916281

Fort Healthcare, Inc.

Organization

General Acute Care Hospital

611 Sherman Ave E

Fort Atkinson, WI

1447304340

Fort Healthcare, Inc.

Organization

Skilled Nursing Facility

611 Sherman Ave E

Fort Atkinson, WI

1417993361

Fort Healthcare Inc

Organization

Counselor

611 Sherman Ave E

Fort Atkinson, WI

1669843223

MRS. LPC Holly L Doughty

Individual

Professional Counselor

120 E 4th St

Kaukauna, WI

1376680330

Fort Memorial Hospital

Organization

Non-Pharmacy Dispensing Site

611 Sherman Ave E

Fort Atkinson, WI

1417450115

Fort Healthcare Inc

Organization

Rural Health Clinic/Center

500 Mcmillen St

Fort Atkinson, WI

1063566966

Fort Healthcare, Inc

Organization

Home Health Agency

611 Sherman Ave E

Fort Atkinson, WI

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