Shopko Eyecare Center 4505

LBN: Shopko Stores Operating Co Llc
Shopko Eyecare Center 4505 is an health care organization with primary practice located at 2101 E Evergreen Dr , Appleton WI 54913-9001. 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 (920) 429-2211, or through Sedani, Dilip via phone (920) 429-7688.

Contact Information

Primary practice address
2101 E Evergreen Dr Appleton WI 54913-9001
Phone: (920) 429-2211
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sedani, Dilip
Phone: (920) 429-7688

Health care specialties

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

Profile Details

NPI number 1942793179
LBN Legal business name Shopko Stores Operating Co Llc
DBA Doing business as Shopko Eyecare Center 4505
Authorized official Sedani, Dilip
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2018
Last updated Jun 12th, 2018 - about 6 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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