institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Watertown, Wisconsin
NPI 1457303455

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Watertown, WI. Shopko Stores Operating Co. Llc practices in Watertown, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1457303455 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 701 S Church St, Watertown, WI and can be reached out via phone at 920-261-9225.

Location: 701 S Church St, Watertown, WI, 53094-6213
institution
Provider Profile Details
NPI Number
1457303455
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
701 S Church St, Watertown, WI, 53094-6213
Phone Number
920-261-9225
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
38413000 05 WI
17643 01 MEDICARE
410985054-4019 01 NVA
CP2230-92 01 EYEMED
014019 01 VIP
42606 01 DAVIS
institution
Provider Business Practice Location Address Details
Address
701 S Church St
City
State
Zip
53094-6213
Phone Number
920-261-9225
Fax Number
person
Provider Business Mailing Address Details
Address
701 S Church St
City
State
Zip
53094-6213
Phone Number
920-261-9225
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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