Shopko Optical 057

LBN: Shopko Stores Operating Co. Llc
Shopko Optical 057 is an health care organization with primary practice located at 405 Cottonwood Dr , Winona MN 55987-1914. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Shopko Stores Operating Co. Llc can be contacted via phone (507) 452-6175, or through Bettiga, Michael J via phone (920) 429-4297.

Contact Information

Primary practice address
405 Cottonwood Dr Winona MN 55987-1914
Phone: (507) 452-6175
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bettiga, Michael J RPH
Phone: (920) 429-4297

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1376595439
LBN Legal business name Shopko Stores Operating Co. Llc
DBA Doing business as Shopko Optical 057
Authorized official Bettiga, Michael J RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Apr 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376595439 NPPES
Other 26679SH MN MA FIRST PLAN OF MN
Other 213121-18 MN MA FIRST PLAN OF MN
Other 34965 MN MA FIRST PLAN OF MN
Other 42491 MN MA FIRST PLAN OF MN
Other 35482 MN MA FIRST PLAN OF MN
Other 17828 MN MA FIRST PLAN OF MN
Other 20019120527 MN MA FIRST PLAN OF MN
Other 410985054-4057 MN MA FIRST PLAN OF MN
Other 47522SH MN MA FIRST PLAN OF MN
Other 014057 MN MA FIRST PLAN OF MN
Other 35584 MN MA FIRST PLAN OF MN

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