institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Duluth, Minnesota
NPI 1295788818

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Duluth, MN. Shopko Stores Operating Co. Llc practices in Duluth, MN. The NPI Number for Shopko Stores Operating Co. Llc is 1295788818 and holds a License No. (Minnesota).

The current practice location address for Shopko Stores Operating Co. Llc is 801 W Central Entrance, Duluth, MN and can be reached out via phone at 218-727-7163.

Location: 801 W Central Entrance, Duluth, MN, 55811-5468
institution
Provider Profile Details
NPI Number
1295788818
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
801 W Central Entrance, Duluth, MN, 55811-5468
Phone Number
218-727-7163
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
410985054-4114 01 NATIONAL VISION ADMIN.
36060 01 MN HEALTH PARTNERS
014114 01 VIP
17833 01 MEDICARE
3C268SH 01 MN MA FIRST PLAN OF MN
42522 01 DAVIS
CP2230-18 01 EYEMED
3C266SH 01 MN BLUE PLUS CARE
03092036207 01 MN MA PRIMEWEST HEALTH
institution
Provider Business Practice Location Address Details
Address
801 W Central Entrance
City
State
Zip
55811-5468
Phone Number
218-727-7163
Fax Number
person
Provider Business Mailing Address Details
Address
801 W Central Entrance
City
State
Zip
55811-5468
Phone Number
218-727-7163
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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