SHOPKO STORES OPERATING CO. LLC; NPI #1346292745

Contact Information

SHOPKO STORES OPERATING CO. LLC

7401 MINERAL POINT RD
MADISON, WI 53717

Phone: 608-833-5700
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for SHOPKO STORES OPERATING CO. LLC

NPI # 1346292745

LBN Legal business name SHOPKO STORES OPERATING CO. LLC

Authorized official DILIP SEDANI - (E)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/16/2006

Last updated 06/08/2018 - About 8 years ago

Identifiers

WI	Medicaid	38412900
	Other	35571	AVESIS
	Other	42622	DAVIS
	Other	CP2230-76	EYEMED
	Other	000087848	MEDICARE
	Other	17647	MEDICARE
	Other	410985054-4029	NVA
	Other	014029	VIIP

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SHOPKO STORES OPERATING CO. LLC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for SHOPKO STORES OPERATING CO. LLC

Reviews for SHOPKO STORES OPERATING CO. LLC