Shopko Optical 079

Eyewear Supplier (equipment, Not The Service)


  
200 S 18th Ave, Wausau
Wisconsin, 54401-4252

 715-842-8040   Maps & Directions
Shopko Optical 079 is a Eyewear Supplier (equipment, Not The Service) Store in Wausau, Wisconsin. It is situated at 200 S 18th Ave, Wausau and its contact number is 715-842-8040. The authorized person of Shopko Optical 079 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 079 is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Complete Center Profile:
Shopko Optical 079 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:200 S 18th Ave, Wausau,
Wisconsin, 54401-4252
Phone:715-842-8040
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 079 center are as mentioned below.
NPI Number: 1386697092
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.
NameSpecializationNPI Number
Shopko Stores Operating Co. LlcEyewear Supplier (equipment, Not The Service) 1386697092
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 079 are as mentioned below.
SpecializationLicense NumberStateStatus
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.
IdentifierTypeStateIssuer
410985054-4079OtherNva
87857OtherMedicare
38440500MedicaidWisconsin
35599OtherAvesis
014079OtherVip
CP2230-98OtherEyemed
42534OtherDavis
17670OtherMedicare
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 079
200 S 18th Ave,
Wausau, Wisconsin
Zip: 54401-4252
Phone Number: 715-842-8040
Patients can reach Shopko Optical 079 at 200 S 18th Ave, Wausau, Wisconsin or can call to book an appointment on 715-842-8040. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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