institution
Shopko Stores Operating Co Llc
Eyewear Supplier in Council Bluffs, Iowa
NPI 1366608440

Shopko Stores Operating Co Llc is a Eyewear Supplier based in Council Bluffs, IA. Shopko Stores Operating Co Llc practices in Council Bluffs, IA. The NPI Number for Shopko Stores Operating Co Llc is 1366608440 and holds a License No. (Iowa).

The current practice location address for Shopko Stores Operating Co Llc is 3271 Marketplace Dr, Council Bluffs, IA and can be reached out via phone at 712-366-0706 and via fax at 712-366-9020.

Location: 3271 Marketplace Dr, Council Bluffs, IA, 51501-7908
institution
Provider Profile Details
NPI Number
1366608440
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
3271 Marketplace Dr, Council Bluffs, IA, 51501-7908
Phone Number
712-366-0706
Fax Number
712-366-9020
Provider Enumeration Date
07/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1366608440 01 WELLMARK BCBS IA
51451 01 AVESIS
A00793 01 EYEMED
62213 01 SPECTERA
135093 01 VIP
institution
Provider Business Practice Location Address Details
Address
3271 Marketplace Dr
City
State
Zip
51501-7908
Phone Number
712-366-0706
Fax Number
712-366-9020
person
Provider Business Mailing Address Details
Address
3271 Marketplace Dr
City
State
Zip
51501-7908
Phone Number
712-366-0706
Fax Number
712-366-9020
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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