institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Green Bay, Wisconsin
NPI 1093767139

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Green Bay, WI. Shopko Stores Operating Co. Llc practices in Green Bay, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1093767139 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 301 Bay Park Sq, Green Bay, WI and can be reached out via phone at 920-499-3511.

Location: 301 Bay Park Sq, Green Bay, WI, 54304-5104
institution
Provider Profile Details
NPI Number
1093767139
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
301 Bay Park Sq, Green Bay, WI, 54304-5104
Phone Number
920-499-3511
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
CP2230-69 01 EYEMED
014002 01 VIP
42501 01 DAVIS
38410200 05 WI
410985054-4002 01 NVA
17635 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
301 Bay Park Sq
City
State
Zip
54304-5104
Phone Number
920-499-3511
Fax Number
person
Provider Business Mailing Address Details
Address
301 Bay Park Sq
City
State
Zip
54304-5104
Phone Number
920-499-3511
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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