Shopko Optical Manufacturing Llc

Durable Medical Equipment & Medical Supplies


  
1450 W Main Ave, De Pere
Wisconsin, 54115-9369

 920-429-7253   Maps & Directions
Shopko Optical Manufacturing Llc is a Durable Medical Equipment & Medical Supplies Store in De Pere, Wisconsin. It is situated at 1450 W Main Ave, De Pere and its contact number is 920-429-7253. The authorized person of Shopko Optical Manufacturing Llc is Mr. Michael Bettiga who is Sr. Vice President Health Services of the store and their contact number is 920-429-4297.
Shopko Optical Manufacturing Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.


Complete Center Profile:
Shopko Optical Manufacturing Llc 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: Durable Medical Equipment & Medical Supplies
Address:1450 W Main Ave, De Pere,
Wisconsin, 54115-9369
Phone:920-429-7253
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: Mr. 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 Manufacturing Llc center are as mentioned below.
NPI Number: 1821243650
NPI Enumeration Date: 20 Nov, 2008
NPI Last Update On: 24 Feb, 2009

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 Manufacturing Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Eyewear Supplier (equipment, Not The Service) Primary
Durable Medical Equipment & Medical Supplies Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
38456800MedicaidWisconsin
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 Manufacturing Llc
1450 W Main Ave,
De Pere, Wisconsin
Zip: 54115-9369
Phone Number: 920-429-7179
Patients can reach Shopko Optical Manufacturing Llc at 1450 W Main Ave, De Pere, Wisconsin or can call to book an appointment on 920-429-7253. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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