institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Sioux City, Iowa
NPI 1174576854

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Sioux City, IA. Shopko Stores Operating Co. Llc practices in Sioux City, IA. The NPI Number for Shopko Stores Operating Co. Llc is 1174576854 and holds a License No. (Iowa).

The current practice location address for Shopko Stores Operating Co. Llc is 3025 Hamilton Blvd, Sioux City, IA and can be reached out via phone at 712-255-5869.

Location: 3025 Hamilton Blvd, Sioux City, IA, 51104-2407
institution
Provider Profile Details
NPI Number
1174576854
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
3025 Hamilton Blvd, Sioux City, IA, 51104-2407
Phone Number
712-255-5869
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
35440 01 AVESIS
014040 01 VIP
CP2230-9 01 EYEMED
17696 01 MEDICARE
28489 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
3025 Hamilton Blvd
City
State
Zip
51104-2407
Phone Number
712-255-5869
Fax Number
person
Provider Business Mailing Address Details
Address
3025 Hamilton Blvd
City
State
Zip
51104-2407
Phone Number
712-255-5869
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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