institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Belvidere, Illinois
NPI 1437102001

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Belvidere, IL. Shopko Stores Operating Co. Llc practices in Belvidere, IL. The NPI Number for Shopko Stores Operating Co. Llc is 1437102001 and holds a License No. (Illinois).

The current practice location address for Shopko Stores Operating Co. Llc is 1400 Big Thunder Blvd, Belvidere, IL and can be reached out via phone at 815-547-3456.

Location: 1400 Big Thunder Blvd, Belvidere, IL, 61008-1726
institution
Provider Profile Details
NPI Number
1437102001
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1400 Big Thunder Blvd, Belvidere, IL, 61008-1726
Phone Number
815-547-3456
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
17685 01 MEDICARE
5232016 01 IL BCBS IL
42552 01 DAVIS
CP2230-12 01 EYEMED
35452 01 AVESIS
014133 01 VIP
institution
Provider Business Practice Location Address Details
Address
1400 Big Thunder Blvd
City
State
Zip
61008-1726
Phone Number
815-547-3456
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Big Thunder Blvd
City
State
Zip
61008-1726
Phone Number
815-547-3456
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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