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Shopko Stores Operating Co Llc
Eyewear Supplier in Mequon, Wisconsin
NPI 1427547082

Shopko Stores Operating Co Llc is a Eyewear Supplier based in Green Bay, WI. Shopko Stores Operating Co Llc practices in Mequon, WI. The NPI Number for Shopko Stores Operating Co Llc is 1427547082 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co Llc is 10996 N Port Washington Rd, Mequon, WI and can be reached out via phone at 262-240-9870.

Location: 10996 N Port Washington Rd, Mequon, WI, 54304-5263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427547082
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
10996 N Port Washington Rd, Mequon, WI, 54304-5263
Phone Number
262-240-9870
Fax Number
Provider Enumeration Date
05/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1427547082 05 WI
institution
Provider Business Practice Location Address Details
Address
10996 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092
Phone Number
262-240-9870
Fax Number
person
Provider Business Mailing Address Details
Address
10996 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092
Phone Number
262-240-9870
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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