institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Burlington, Iowa
NPI 1083667406

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Burlington, IA. Shopko Stores Operating Co. Llc practices in Burlington, IA. The NPI Number for Shopko Stores Operating Co. Llc is 1083667406 and holds a License No. (Iowa).

The current practice location address for Shopko Stores Operating Co. Llc is 313 N Roosevelt Ave, Burlington, IA and can be reached out via phone at 319-758-9145.

Location: 313 N Roosevelt Ave, Burlington, IA, 52601-1757
institution
Provider Profile Details
NPI Number
1083667406
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
313 N Roosevelt Ave, Burlington, IA, 52601-1757
Phone Number
319-758-9145
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35436 01 AVESIS
17698 01 MEDICARE
I3516 01 MEDICARE
CP2521-1 01 EYEMED
014141 01 VIP
institution
Provider Business Practice Location Address Details
Address
313 N Roosevelt Ave
City
State
Zip
52601-1757
Phone Number
319-758-9145
Fax Number
person
Provider Business Mailing Address Details
Address
313 N Roosevelt Ave
City
State
Zip
52601-1757
Phone Number
319-758-9145
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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