Shopko Stores Operating Co. Llc, NPI 1124071758
Eyewear Supplier in Monroe, WI, US
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 |
Organization Official
| Official Name | RPH Michael J Bettiga |
| Official Position | SR. VICE PRESIDENT HEALTH SERVICES |
| Phone | 920-429-4297 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Eyewear Supplier |
| Classification | |
| Group | |
| Description | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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 |
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