institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Saint Cloud, Minnesota
NPI 1063465789

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Saint Cloud, MN. Shopko Stores Operating Co. Llc practices in Saint Cloud, MN. The NPI Number for Shopko Stores Operating Co. Llc is 1063465789 and holds a License No. (Minnesota).

The current practice location address for Shopko Stores Operating Co. Llc is 501 Highway 10 Se, Saint Cloud, MN and can be reached out via phone at 320-253-4695.

Location: 501 Highway 10 Se, Saint Cloud, MN, 56304-1250
institution
Provider Profile Details
NPI Number
1063465789
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
501 Highway 10 Se, Saint Cloud, MN, 56304-1250
Phone Number
320-253-4695
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
213121-17 01 EYEMED
21527 01 MN HEALTH PARTNERS
410985054-4061 01 NATIONAL VISION ADMIN.
42497 01 DAVIS
20019120524 01 MN MA PRIMEWEST HEALTH
014061 01 VIP
17832 01 MEDICARE
55306HA 01 MN MA FIRST PLAN OF MN
2100301 01 MN MA MEDICA CHOICE CARE
26887SH 01 MN MA FIRST PLAN OF MN
35480 01 AVESIS
institution
Provider Business Practice Location Address Details
Address
501 Highway 10 Se
City
State
Zip
56304-1250
Phone Number
320-253-4695
Fax Number
person
Provider Business Mailing Address Details
Address
501 Highway 10 Se
City
State
Zip
56304-1250
Phone Number
320-253-4695
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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