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Shopko Stores Operating Co. Llc
Eyewear Supplier in De Pere, Wisconsin
NPI 1407808496

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in De Pere, WI. Shopko Stores Operating Co. Llc practices in De Pere, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1407808496 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 230 N Wisconsin St, De Pere, WI and can be reached out via phone at 920-336-3390.

Location: 230 N Wisconsin St, De Pere, WI, 54115-2735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407808496
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
230 N Wisconsin St, De Pere, WI, 54115-2735
Phone Number
920-336-3390
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
014005 01 VIP
17637 01 MEDICARE
CP2230-70 01 EYEMED
38428900 05 WI
410985054-4005 01 NVA
42523 01 DAVIS
institution
Provider Business Practice Location Address Details
Address
230 N Wisconsin St
City
De Pere
State
Wisconsin
Zip
54115-2735
Phone Number
920-336-3390
Fax Number
person
Provider Business Mailing Address Details
Address
230 N Wisconsin St
City
De Pere
State
Wisconsin
Zip
54115-2735
Phone Number
920-336-3390
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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