institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Green Bay, Wisconsin
NPI 1346292430

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Green Bay, WI. Shopko Stores Operating Co. Llc practices in Green Bay, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1346292430 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 216 S Military Ave, Green Bay, WI and can be reached out via phone at 920-494-3384.

Location: 216 S Military Ave, Green Bay, WI, 54303-2498
institution
Provider Profile Details
NPI Number
1346292430
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
216 S Military Ave, Green Bay, WI, 54303-2498
Phone Number
920-494-3384
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
42495 01 DAVIS
17634 01 MEDICARE
410985054-4001 01 NVA
38403000 05 WI
014001 01 VIP
CP2230-68 01 EYEMED
institution
Provider Business Practice Location Address Details
Address
216 S Military Ave
City
State
Zip
54303-2498
Phone Number
920-494-3384
Fax Number
person
Provider Business Mailing Address Details
Address
216 S Military Ave
City
State
Zip
54303-2498
Phone Number
920-494-3384
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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