institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Fairmont, Minnesota
NPI 1457304024

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Fairmont, MN. Shopko Stores Operating Co. Llc practices in Fairmont, MN. The NPI Number for Shopko Stores Operating Co. Llc is 1457304024 and holds a License No. (Minnesota).

The current practice location address for Shopko Stores Operating Co. Llc is 1001 Highway 15 S, Fairmont, MN and can be reached out via phone at 507-238-9490.

Location: 1001 Highway 15 S, Fairmont, MN, 56031-4456
institution
Provider Profile Details
NPI Number
1457304024
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1001 Highway 15 S, Fairmont, MN, 56031-4456
Phone Number
507-238-9490
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35469 01 AVESIS
CP2230-19 01 EYEMED
03092036205 01 MN MA PRIMEWEST HEALTH
36058 01 MN HEALTH PARTNERS
42493 01 DAVIS
014059 01 VIP
17830 01 MEDICARE
3C159SH 01 MN MA FIRST PLAN OF MN
3C391SH 01 MN MA FIRST PLAN OF MN
institution
Provider Business Practice Location Address Details
Address
1001 Highway 15 S
City
State
Zip
56031-4456
Phone Number
507-238-9490
Fax Number
person
Provider Business Mailing Address Details
Address
1001 Highway 15 S
City
State
Zip
56031-4456
Phone Number
507-238-9490
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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