Shopko Optical 050 is a Eyewear Supplier (equipment, Not The Service) Store in Fond Du Lac, Wisconsin. It is situated at 616 W Johnson St, Fond Du Lac and its contact number is 920-921-8290. The authorized person of Shopko Optical 050 is Michael J Bettiga
who is Sr. Vice President Health Services of the store and their contact number is 920-429-4297. Other organizations associated with this store are Shopko Stores Operating Co. Llc, Shopko Stores Operating Co Llc, Shopko Optical 050 is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Complete Center Profile:
Shopko Optical 050 Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the eye care center or can call on the below given phone number for appointment.
Specialization:
Eyewear Supplier (equipment, Not The Service)
Address:
616 W Johnson St, Fond Du Lac, Wisconsin, 54935-3134
Phone:
920-921-8290
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Michael J Bettiga
Position:
Sr. Vice President Health Services
Contact Number:
920-429-4297
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Shopko Optical 050 center are as mentioned below.
NPI Number:
1013960723
NPI Enumeration Date:
17 May, 2006
NPI Last Update On:
11 Feb, 2008
Other Associated Organizations:
Other organizations which are associated with this store are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Shopko Stores Operating Co. Llc
Eyewear Supplier (equipment, Not The Service)
1013960723
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shopko Optical 050 are as mentioned below.
Specialization
License Number
State
Status
Eyewear Supplier (equipment, Not The Service)
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
014050
Other
Vip
410985054-4050
Other
Nva
17654
Other
Medicare
35560
Other
Avesis
CP2230-3
Other
Eyemed
38426900
Medicaid
Wisconsin
42597
Other
Davis
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Shopko Optical 050 616 W Johnson St, Fond Du Lac, Wisconsin
Zip:
54935-3134
Phone Number:
920-921-8290
Patients can reach Shopko Optical 050 at 616 W Johnson St, Fond Du Lac, Wisconsin or can call to book an appointment on 920-921-8290. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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