institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in West Bend, Wisconsin
NPI 1326090341

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in West Bend, WI. Shopko Stores Operating Co. Llc practices in West Bend, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1326090341 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 1710 S Main St, West Bend, WI and can be reached out via phone at 262-334-7077. You can also correspond with Shopko Stores Operating Co. Llc through the mailing address at 1710 S MAIN ST, WEST BEND, WI - 53095-4938 (mailing address contact number: 262-334-7077).

Location: 1710 S Main St, West Bend, WI, 53095-4938
institution
Provider Profile Details
NPI Number
1326090341
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1710 S Main St, West Bend, WI, 53095-4938
Phone Number
262-334-7077
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
42602 01 DAVIS
CP2230-2 01 EYEMED
35593 01 AVESIS
014018 01 VIP
13863 01 MEDICARE
38706100 05 WI
410985054-4018 01 NVA
institution
Provider Business Practice Location Address Details
Address
1710 S Main St
City
State
Zip
53095-4938
Phone Number
262-334-7077
Fax Number
person
Provider Business Mailing Address Details
Address
1710 S Main St
City
State
Zip
53095-4938
Phone Number
262-334-7077
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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