institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Manitowoc, Wisconsin
NPI 1205888344

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Manitowoc, WI. Shopko Stores Operating Co. Llc practices in Manitowoc, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1205888344 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 3415 Calumet Ave, Manitowoc, WI and can be reached out via phone at 920-683-2244. You can also correspond with Shopko Stores Operating Co. Llc through the mailing address at 3415 CALUMET AVE, MANITOWOC, WI - 54220-5427 (mailing address contact number: 920-683-2244).

Location: 3415 Calumet Ave, Manitowoc, WI, 54220-5427
institution
Provider Profile Details
NPI Number
1205888344
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
3415 Calumet Ave, Manitowoc, WI, 54220-5427
Phone Number
920-683-2244
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
42509 01 DAVIS
13861 01 MEDICARE
38417800 05 WI
CP2230-79 01 EYEMED
014003 01 VIP
410985054-4003 01 NVA
institution
Provider Business Practice Location Address Details
Address
3415 Calumet Ave
City
State
Zip
54220-5427
Phone Number
920-683-2244
Fax Number
person
Provider Business Mailing Address Details
Address
3415 Calumet Ave
City
State
Zip
54220-5427
Phone Number
920-683-2244
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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