institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Oshkosh, Wisconsin
NPI 1235181298

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Oshkosh, WI. Shopko Stores Operating Co. Llc practices in Oshkosh, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1235181298 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 1300 S Koeller St, Oshkosh, WI and can be reached out via phone at 920-426-5730.

Location: 1300 S Koeller St, Oshkosh, WI, 54902-6169
institution
Provider Profile Details
NPI Number
1235181298
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1300 S Koeller St, Oshkosh, WI, 54902-6169
Phone Number
920-426-5730
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
CP2230-85 01 EYEMED
17653 01 MEDICARE
014042 01 VIP
35722 01 AVESIS
38425700 05 WI
410985054-4042 01 NVA
42595 01 DAVIS
institution
Provider Business Practice Location Address Details
Address
1300 S Koeller St
City
State
Zip
54902-6169
Phone Number
920-426-5730
Fax Number
person
Provider Business Mailing Address Details
Address
1300 S Koeller St
City
State
Zip
54902-6169
Phone Number
920-426-5730
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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