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SHOPKO STORES OPERATING CO LLC NPI 1942793179


NPI Information

NPI: 1942793179
Provider Name: SHOPKO STORES OPERATING CO LLC

Doing Business As: SHOPKO EYECARE CENTER 4505

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
2101 E EVERGREEN DR
APPLETON, WI
ZIP 54913
Phone: (920) 429-2211
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SHOPKO STORES OPERATING CO LLC is an eyewear supplier in Appleton, WI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SHOPKO STORES OPERATING CO LLC NPI is 1942793179. The provider is registered as an organization entity type.
The provider Is Doing Business As Shopko Eyecare Center 4505.

The provider's business location address is:

2101 E EVERGREEN DR
APPLETON, WI
ZIP 54913-001
Phone: (920) 429-2211

The provider's authorized official is Dilip Sedani .
The authorized official title is Vp and has the following contact phone number (920) 429-7688.

The enumeration date for this NPI number is 6/12/2018 and was last updated on 6/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.