institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Escanaba, Michigan
NPI 1013969336

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Escanaba, MI. Shopko Stores Operating Co. Llc practices in Escanaba, MI. The NPI Number for Shopko Stores Operating Co. Llc is 1013969336 and holds a License No. (Michigan).

The current practice location address for Shopko Stores Operating Co. Llc is 2530 1St Ave N, Escanaba, MI and can be reached out via phone at 906-786-2295.

Location: 2530 1St Ave N, Escanaba, MI, 49829-1390
institution
Provider Profile Details
NPI Number
1013969336
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
2530 1St Ave N, Escanaba, MI, 49829-1390
Phone Number
906-786-2295
Fax Number
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
014016 01 VIP
42600 01 DAVIS
0P06330 01 MEDICARE
17875 01 MEDICARE
213121-9 01 EYEMED
35462 01 AVESIS
411740865-4016 01 NVA
institution
Provider Business Practice Location Address Details
Address
2530 1St Ave N
City
State
Zip
49829-1390
Phone Number
906-786-2295
Fax Number
person
Provider Business Mailing Address Details
Address
2530 1St Ave N
City
State
Zip
49829-1390
Phone Number
906-786-2295
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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