institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Beloit, Wisconsin
NPI 1255384822

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Beloit, WI. Shopko Stores Operating Co. Llc practices in Beloit, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1255384822 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 2761 Prairie Ave, Beloit, WI and can be reached out via phone at 608-365-2512.

Location: 2761 Prairie Ave, Beloit, WI, 53511-2246
institution
Provider Profile Details
NPI Number
1255384822
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
2761 Prairie Ave, Beloit, WI, 53511-2246
Phone Number
608-365-2512
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
410985054-4026 01 NVA
014026 01 VIP
CP2230-62 01 EYEMED
38404900 05 WI
13859 01 MEDICARE
42618 01 DAVIS
institution
Provider Business Practice Location Address Details
Address
2761 Prairie Ave
City
State
Zip
53511-2246
Phone Number
608-365-2512
Fax Number
person
Provider Business Mailing Address Details
Address
2761 Prairie Ave
City
State
Zip
53511-2246
Phone Number
608-365-2512
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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