institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Houghton, Michigan
NPI 1073565594

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Houghton, MI. Shopko Stores Operating Co. Llc practices in Houghton, MI. The NPI Number for Shopko Stores Operating Co. Llc is 1073565594 and holds a License No. (Michigan).

The current practice location address for Shopko Stores Operating Co. Llc is 900 Memorial Rd, Houghton, MI and can be reached out via phone at 906-487-9767.

Location: 900 Memorial Rd, Houghton, MI, 49931-2481
institution
Provider Profile Details
NPI Number
1073565594
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
900 Memorial Rd, Houghton, MI, 49931-2481
Phone Number
906-487-9767
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
17876 01 MEDICARE
35463 01 AVESIS
014123 01 VIP
213121-10 01 EYEMED
410985054-4123 01 NVA
42538 01 DAVIS VISION
0P06340 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
900 Memorial Rd
City
State
Zip
49931-2481
Phone Number
906-487-9767
Fax Number
person
Provider Business Mailing Address Details
Address
900 Memorial Rd
City
State
Zip
49931-2481
Phone Number
906-487-9767
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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