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Shopko Stores Operating Co. Llc
Eyewear Supplier in Marquette, Michigan
NPI 1225088768

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Marquette, MI. Shopko Stores Operating Co. Llc practices in Marquette, MI. The NPI Number for Shopko Stores Operating Co. Llc is 1225088768 and holds a License No. (Michigan).

The current practice location address for Shopko Stores Operating Co. Llc is 1150 W Washington St, Marquette, MI and can be reached out via phone at 906-228-4120.

Location: 1150 W Washington St, Marquette, MI, 49855-4040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225088768
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1150 W Washington St, Marquette, MI, 49855-4040
Phone Number
906-228-4120
Fax Number
Provider Enumeration Date
05/12/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
213121-12 01 EYEMED
014010 01 VIP
9000E210890 01 MI BCBS PIN
0N84900 01 BCBS IL
410985054-4010 01 NVA
42572 01 DAVIS VISION
16749 01 MEDICARECOMPLETE
35465 01 AVESIS
institution
Provider Business Practice Location Address Details
Address
1150 W Washington St
City
Marquette
State
Michigan
Zip
49855-4040
Phone Number
906-228-4120
Fax Number
person
Provider Business Mailing Address Details
Address
1150 W Washington St
City
Marquette
State
Michigan
Zip
49855-4040
Phone Number
906-228-4120
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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