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Shopko Stores Operating Co Llc
Eyewear Supplier in Bend, Oregon
NPI 1023069499

Shopko Stores Operating Co Llc is a Eyewear Supplier based in Bend, OR. Shopko Stores Operating Co Llc practices in Bend, OR. The NPI Number for Shopko Stores Operating Co Llc is 1023069499 and holds a License No. (Oregon).

The current practice location address for Shopko Stores Operating Co Llc is 60 Ne Bend River Mall Dr, Bend, OR and can be reached out via phone at 541-385-6079.

Location: 60 Ne Bend River Mall Dr, Bend, OR, 97701-7528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023069499
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
60 Ne Bend River Mall Dr, Bend, OR, 97701-7528
Phone Number
541-385-6079
Fax Number
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17679 01 MEDICARECOMPLETE
35508 01 AVESIS
022688 05 OR
014093 01 VIP
112254 01 OR MEDICARE-NORIDIAN
CP2230-33 01 EYEMED
42573 01 DAVIS VISION
005251 05 OR
institution
Provider Business Practice Location Address Details
Address
60 Ne Bend River Mall Dr
City
Bend
State
Oregon
Zip
97701-7528
Phone Number
541-385-6079
Fax Number
person
Provider Business Mailing Address Details
Address
60 Ne Bend River Mall Dr
City
Bend
State
Oregon
Zip
97701-7528
Phone Number
541-385-6079
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
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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