institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Wisconsin Rapids, Wisconsin
NPI 1265484265

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Wisconsin Rapids, WI. Shopko Stores Operating Co. Llc practices in Wisconsin Rapids, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1265484265 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 1100 E Riverview Expy, Wisconsin Rapids, WI and can be reached out via phone at 715-423-1340.

Location: 1100 E Riverview Expy, Wisconsin Rapids, WI, 54494-5483
institution
Provider Profile Details
NPI Number
1265484265
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1100 E Riverview Expy, Wisconsin Rapids, WI, 54494-5483
Phone Number
715-423-1340
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
014012 01 VIP
13864 01 MEDICARE
35595 01 AVESIS
410985054-4012 01 NVA
42587 01 DAVIS
38409000 05 WI
CP2230-93 01 EYEMED
87832 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
1100 E Riverview Expy
City
State
Zip
54494-5483
Phone Number
715-423-1340
Fax Number
person
Provider Business Mailing Address Details
Address
1100 E Riverview Expy
City
State
Zip
54494-5483
Phone Number
715-423-1340
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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