institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Rhinelander, Wisconsin
NPI 1295788834

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Rhinelander, WI. Shopko Stores Operating Co. Llc practices in Rhinelander, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1295788834 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 2200 Lincoln St, Rhinelander, WI and can be reached out via phone at 715-362-4800.

Location: 2200 Lincoln St, Rhinelander, WI, 54501-3631
institution
Provider Profile Details
NPI Number
1295788834
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
2200 Lincoln St, Rhinelander, WI, 54501-3631
Phone Number
715-362-4800
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
CP2230-87 01 EYEMED
42569 01 DAVIS
47535 01 MEDICARE
410985054-4170 01 NVA
014170 01 VIP
35585 01 AVESIS
38454100 05 WI
17665 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
2200 Lincoln St
City
State
Zip
54501-3631
Phone Number
715-362-4800
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Lincoln St
City
State
Zip
54501-3631
Phone Number
715-362-4800
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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