Shopko Optical 504

Eyewear Supplier (equipment, Not The Service)


  
W3208 Van Roy Rd, Appleton
Wisconsin, 54915

 920-111-1111   Maps & Directions
Shopko Optical 504 is a Eyewear Supplier (equipment, Not The Service) Store in Appleton, Wisconsin. It is situated at W3208 Van Roy Rd, Appleton and its contact number is 920-111-1111. The authorized person of Shopko Optical 504 is Michael Bettiga who is Sr. Vice President Health Services of the store and their contact number is 920-429-4297.
Shopko Optical 504 is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Complete Center Profile:
Shopko Optical 504 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:W3208 Van Roy Rd, Appleton,
Wisconsin, 54915
Phone:920-111-1111
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 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 504 center are as mentioned below.
NPI Number: 1114100518
NPI Enumeration Date: 10 Dec, 2007
NPI Last Update On: 17 Jul, 2008

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 504 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
1114100518OtherAnthem Bcbs Wi
38461200MedicaidWisconsin
59715OtherDavis
60677OtherSpectera
300133OtherEyemed
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 504
W3208 Van Roy Rd,
Appleton, Wisconsin
Zip: 54915
Phone Number: --
Patients can reach Shopko Optical 504 at W3208 Van Roy Rd, Appleton, Wisconsin or can call to book an appointment on 920-111-1111. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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