Shopko Optical 4014

LBN: Shoptikal Llc
Shopko Optical 4014 is an health care organization with primary practice located at 820 Park Ave Ste I , Beaver Dam WI 53916-2265. 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. Shoptikal Llc can be contacted via phone (920) 887-3791, or through Steinhorst, Russell via phone (920) 429-7489.

Contact Information

Primary practice address
820 Park Ave Ste I Beaver Dam WI 53916-2265
Phone: (920) 887-3791
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Steinhorst, Russell
Phone: (920) 429-7489

Health care specialties

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

Profile Details

NPI number 1154987576
LBN Legal business name Shoptikal Llc
DBA Doing business as Shopko Optical 4014
Authorized official Steinhorst, Russell
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2019
Last updated Nov 20th, 2019 - 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.

Request for update

Popular Providers