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Organization

SHOPKO STORES OPERATING CO LLC

Active
Other names
Shopko Eyecare Center 4505
Organization subpart
No

Provider details

NPI number
Authorized official
DILIP SEDANI (VP)
(920) 429-7688
Entity
Organization

Contact information

Practice address
2101 E EVERGREEN DR, APPLETON, WI 54913-9001
(920) 429-2211
Mailing address
700 PILGRIM WAY, GREEN BAY, WI 54304-5263

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
06/12/2018
Last updated
06/12/2018
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform