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Shopko Stores Operating Co. Llc
Eyewear Supplier in Grand Island, Nebraska
NPI 1164474698

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Grand Island, NE. Shopko Stores Operating Co. Llc practices in Grand Island, NE. The NPI Number for Shopko Stores Operating Co. Llc is 1164474698 and holds a License No. (Nebraska).

The current practice location address for Shopko Stores Operating Co. Llc is 2208 N Webb Rd, Grand Island, NE and can be reached out via phone at 308-382-7661.

Location: 2208 N Webb Rd, Grand Island, NE, 68803-1739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164474698
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
2208 N Webb Rd, Grand Island, NE, 68803-1739
Phone Number
308-382-7661
Fax Number
Provider Enumeration Date
05/16/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
099548 01 MEDICARE
17882 01 MEDICARE
914651 01 BLOCK
10025074000 05 NE
014038 01 VIP
213121-23 01 EYEMED
35496 01 AVESIS
35858 01 DAVIS
institution
Provider Business Practice Location Address Details
Address
2208 N Webb Rd
City
Grand Island
State
Nebraska
Zip
68803-1739
Phone Number
308-382-7661
Fax Number
person
Provider Business Mailing Address Details
Address
2208 N Webb Rd
City
Grand Island
State
Nebraska
Zip
68803-1739
Phone Number
308-382-7661
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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