institution
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
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
03/08/2024
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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
State
Zip
49855-4040
Phone Number
906-228-4120
Fax Number
person
Provider Business Mailing Address Details
Address
1150 W Washington St
City
State
Zip
49855-4040
Phone Number
906-228-4120
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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