Shopko Optical 080

LBN: Shopko Stores Operating Co. Llc
Shopko Optical 080 is an health care organization with primary practice located at 2201 Zeier Rd , Madison WI 53704. 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 (608) 246-2161, or through Sedani, Dilip via phone (920) 429-7688.

Contact Information

Primary practice address
2201 Zeier Rd Madison WI 53704
Phone: (608) 246-2161
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 1558314328
LBN Legal business name Shopko Stores Operating Co. Llc
DBA Doing business as Shopko Optical 080
Authorized official Sedani, Dilip
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Sep 2nd, 2018 - about 8 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 1558314328 NPPES
Other CP2230-78 EYEMED
Other 42536 EYEMED
Other 000087921 EYEMED
Other 014080 EYEMED
Other 410985054-4080 EYEMED
MEDICAID 38707300 EYEMED
Other 17657 EYEMED
Other 35574 EYEMED

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