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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.

Location: 1710 S Main St, West Bend, WI, 53095-4938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
West Bend
State
Wisconsin
Zip
53095-4938
Phone Number
262-334-7077
Fax Number
person
Provider Business Mailing Address Details
Address
1710 S Main St
City
West Bend
State
Wisconsin
Zip
53095-4938
Phone Number
262-334-7077
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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