SHOPKO STORES OPERATING CO LLC
NPI: 1427547082
· MEQUON, WI 53092
· Eyewear Supplier
· NPI assigned 05/08/2018
Provider Details
| Authorized Official | SEDANI, DILIP (VP) |
| NPI Enumeration Date | 05/08/2018 |
Related Entities
Other providers sharing the same authorized official: SEDANI, DILIP
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18 |
$631.62 |
| 2019 |
38 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
56 |
50 |
$2K |