institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Nampa, Idaho
NPI 1164475752

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Nampa, ID. Shopko Stores Operating Co. Llc practices in Nampa, ID. The NPI Number for Shopko Stores Operating Co. Llc is 1164475752 and holds a License No. (Idaho).

The current practice location address for Shopko Stores Operating Co. Llc is 2100 Caldwell Blvd, Nampa, ID and can be reached out via phone at 208-466-6895.

Location: 2100 Caldwell Blvd, Nampa, ID, 83651-1510
institution
Provider Profile Details
NPI Number
1164475752
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
2100 Caldwell Blvd, Nampa, ID, 83651-1510
Phone Number
208-466-6895
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
014064 01 VIP
17713 01 MEDICARE
806430101 05 ID
1379400 01 MEDICARE
42500 01 DAVIS VISION
000309900 05 ID
213121-7 01 EYEMED
410985054-4064 01 UWG
35449 01 AVESIS
institution
Provider Business Practice Location Address Details
Address
2100 Caldwell Blvd
City
State
Zip
83651-1510
Phone Number
208-466-6895
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Caldwell Blvd
City
State
Zip
83651-1510
Phone Number
208-466-6895
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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