Shopko Optical 4018

LBN: Shoptikal Llc
Shopko Optical 4018 is an health care organization with primary practice located at 1745 South Main St , West Bend WI 53095. 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 (262) 334-7077, or through Eisen, James E via phone (920) 429-7549.

Contact Information

Primary practice address
1745 South Main St West Bend WI 53095
Phone: (262) 334-7077
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eisen, James E
Phone: (920) 429-7549

Health care specialties

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

Profile Details

NPI number 1922664358
LBN Legal business name Shoptikal Llc
DBA Doing business as Shopko Optical 4018
Authorized official Eisen, James E
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2019
Last updated Jul 12th, 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.

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