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Shopko Stores Operating Co. Llc
Eyewear Supplier in Monmouth, Illinois
NPI 1295788842

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Monmouth, IL. Shopko Stores Operating Co. Llc practices in Monmouth, IL. The NPI Number for Shopko Stores Operating Co. Llc is 1295788842 and holds a License No. (Illinois).

The current practice location address for Shopko Stores Operating Co. Llc is 1190 N 6Th St, Monmouth, IL and can be reached out via phone at 309-734-7576.

Location: 1190 N 6Th St, Monmouth, IL, 61462-9672
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295788842
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1190 N 6Th St, Monmouth, IL, 61462-9672
Phone Number
309-734-7576
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
17687 01 MEDICARE
CP2521-4 01 EYEMED
014145 01 VIP
35457 01 AVESIS
5232016 01 IL BCBS IL
42562 01 DAVIS
institution
Provider Business Practice Location Address Details
Address
1190 N 6Th St
City
Monmouth
State
Illinois
Zip
61462-9672
Phone Number
309-734-7576
Fax Number
person
Provider Business Mailing Address Details
Address
1190 N 6Th St
City
Monmouth
State
Illinois
Zip
61462-9672
Phone Number
309-734-7576
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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