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Shopko Stores Operating Co. Llc
Eyewear Supplier in Appleton, Wisconsin
NPI 1295787315

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Appleton, WI. Shopko Stores Operating Co. Llc practices in Appleton, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1295787315 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 1000 W Northland Ave, Appleton, WI and can be reached out via phone at 920-731-4511.

Location: 1000 W Northland Ave, Appleton, WI, 54914-1419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295787315
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1000 W Northland Ave, Appleton, WI, 54914-1419
Phone Number
920-731-4511
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
17667 01 MEDICARE
38404500 05 WI
42594 01 DAVIS
014015 01 VIP
410985054-4015 01 NVA
CP2230-94 01 EYEMED
institution
Provider Business Practice Location Address Details
Address
1000 W Northland Ave
City
Appleton
State
Wisconsin
Zip
54914-1419
Phone Number
920-731-4511
Fax Number
person
Provider Business Mailing Address Details
Address
1000 W Northland Ave
City
Appleton
State
Wisconsin
Zip
54914-1419
Phone Number
920-731-4511
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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