institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Saint Cloud, Minnesota
NPI 1174575500

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Saint Cloud, MN. Shopko Stores Operating Co. Llc practices in Saint Cloud, MN. The NPI Number for Shopko Stores Operating Co. Llc is 1174575500 and holds a License No. (Minnesota).

The current practice location address for Shopko Stores Operating Co. Llc is 4161 2Nd St S, Saint Cloud, MN and can be reached out via phone at 320-253-5994.

Location: 4161 2Nd St S, Saint Cloud, MN, 56301-3761
institution
Provider Profile Details
NPI Number
1174575500
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
4161 2Nd St S, Saint Cloud, MN, 56301-3761
Phone Number
320-253-5994
Fax Number
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42601 01 DAVIS
014017 01 VIP
77166SH 01 MN MA FIRST PLAN OF MN
17821 01 MEDICARE
2123169 01 MN MA MEDICA CHOICE CARE
23667 01 MN HEALTH PARTNERS
CP2230-22 01 EYEMED
35585 01 AVESIS
77168MA 01 MN BLUE PLUS CARE
03092036202 01 MN MA PRIMEWEST HEALTH
35479 01 AVESIS
410985054-4017 01 NATIONAL VISION ADMIN.
institution
Provider Business Practice Location Address Details
Address
4161 2Nd St S
City
State
Zip
56301-3761
Phone Number
320-253-5994
Fax Number
person
Provider Business Mailing Address Details
Address
4161 2Nd St S
City
State
Zip
56301-3761
Phone Number
320-253-5994
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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