institution
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. You can also correspond with Shopko Stores Operating Co. Llc through the mailing address at 1000 W NORTHLAND AVE, APPLETON, WI - 54914-1419 (mailing address contact number: 920-731-4511).

Location: 1000 W Northland Ave, Appleton, WI, 54914-1419
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
State
Zip
54914-1419
Phone Number
920-731-4511
Fax Number
person
Provider Business Mailing Address Details
Address
1000 W Northland Ave
City
State
Zip
54914-1419
Phone Number
920-731-4511
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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