institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Fort Atkinson, Wisconsin
NPI 1053363010

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Fort Atkinson, WI. Shopko Stores Operating Co. Llc practices in Fort Atkinson, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1053363010 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 1425 Janesville Ave, Fort Atkinson, WI and can be reached out via phone at 920-563-2171.

Location: 1425 Janesville Ave, Fort Atkinson, WI, 53538-2705
institution
Provider Profile Details
NPI Number
1053363010
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1425 Janesville Ave, Fort Atkinson, WI, 53538-2705
Phone Number
920-563-2171
Fax Number
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17655 01 MEDICARE
38450700 05 WI
410985054-4051 01 NVA
CP2230-67 01 EYEMED
014051 01 VIP
42598 01 DAVIS
35561 01 AVESIS
institution
Provider Business Practice Location Address Details
Address
1425 Janesville Ave
City
State
Zip
53538-2705
Phone Number
920-563-2171
Fax Number
person
Provider Business Mailing Address Details
Address
1425 Janesville Ave
City
State
Zip
53538-2705
Phone Number
920-563-2171
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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