institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in North Platte, Nebraska
NPI 1336191501

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in North Platte, NE. Shopko Stores Operating Co. Llc practices in North Platte, NE. The NPI Number for Shopko Stores Operating Co. Llc is 1336191501 and holds a License No. (Nebraska).

The current practice location address for Shopko Stores Operating Co. Llc is 510 E Philip Ave, North Platte, NE and can be reached out via phone at 308-534-7271.

Location: 510 E Philip Ave, North Platte, NE, 69101-5538
institution
Provider Profile Details
NPI Number
1336191501
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
510 E Philip Ave, North Platte, NE, 69101-5538
Phone Number
308-534-7271
Fax Number
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
014053 01 VIP
35502 01 AVESIS
35865 01 DAVIS
CP2230-29 01 EYEMED
096219 01 MEDICARE
41098505403 05 NE
007127 01 BLOCK
17889 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
510 E Philip Ave
City
State
Zip
69101-5538
Phone Number
308-534-7271
Fax Number
person
Provider Business Mailing Address Details
Address
510 E Philip Ave
City
State
Zip
69101-5538
Phone Number
308-534-7271
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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