institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Springfield, Illinois
NPI 1326090424

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Springfield, IL. Shopko Stores Operating Co. Llc practices in Springfield, IL. The NPI Number for Shopko Stores Operating Co. Llc is 1326090424 and holds a License No. (Illinois).

The current practice location address for Shopko Stores Operating Co. Llc is 3001 S Dirksen Pkwy, Springfield, IL and can be reached out via phone at 217-585-8845. You can also correspond with Shopko Stores Operating Co. Llc through the mailing address at 3001 S DIRKSEN PKWY, SPRINGFIELD, IL - 62703-4502 (mailing address contact number: 217-585-8845).

Location: 3001 S Dirksen Pkwy, Springfield, IL, 62703-4502
institution
Provider Profile Details
NPI Number
1326090424
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
3001 S Dirksen Pkwy, Springfield, IL, 62703-4502
Phone Number
217-585-8845
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
CP2521-7 01 EYEMED
014153 01 VIP
42564 01 DAVIS
17689 01 MEDICARE
5232016 01 IL BCBS IL
institution
Provider Business Practice Location Address Details
Address
3001 S Dirksen Pkwy
City
State
Zip
62703-4502
Phone Number
217-585-8845
Fax Number
person
Provider Business Mailing Address Details
Address
3001 S Dirksen Pkwy
City
State
Zip
62703-4502
Phone Number
217-585-8845
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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