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Shopko Stores Operating Co. Llc
Eyewear Supplier in Rice Lake, Wisconsin
NPI 1083667786

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Rice Lake, WI. Shopko Stores Operating Co. Llc practices in Rice Lake, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1083667786 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 320 S Access Rd, Rice Lake, WI and can be reached out via phone at 715-236-7906.

Location: 320 S Access Rd, Rice Lake, WI, 54868-8572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083667786
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
320 S Access Rd, Rice Lake, WI, 54868-8572
Phone Number
715-236-7906
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
35598 01 AVESIS
410985054-4132 01 NVA
42551 01 DAVIS
014132 01 VIP
38450400 05 WI
87175 01 MEDICARE
10832 01 MEDICARE
CP2230-97 01 EYEMED
institution
Provider Business Practice Location Address Details
Address
320 S Access Rd
City
Rice Lake
State
Wisconsin
Zip
54868-8572
Phone Number
715-236-7906
Fax Number
person
Provider Business Mailing Address Details
Address
320 S Access Rd
City
Rice Lake
State
Wisconsin
Zip
54868-8572
Phone Number
715-236-7906
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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