institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Coeur D Alene, Idaho
NPI 1497708085

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Coeur D Alene, ID. Shopko Stores Operating Co. Llc practices in Coeur D Alene, ID. The NPI Number for Shopko Stores Operating Co. Llc is 1497708085 and holds a License No. (Idaho).

The current practice location address for Shopko Stores Operating Co. Llc is 217 W Ironwood Dr, Coeur D Alene, ID and can be reached out via phone at 208-765-8078.

Location: 217 W Ironwood Dr, Coeur D Alene, ID, 83814-2651
institution
Provider Profile Details
NPI Number
1497708085
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
217 W Ironwood Dr, Coeur D Alene, ID, 83814-2651
Phone Number
208-765-8078
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
014069 01 VIP
213121-4 01 EYEMED
35444 01 AVESIS
806430105 05 ID
42507 01 DAVIS VISION
1379403 01 MEDICARE
17837 01 MEDICARE
000309800 05 ID
institution
Provider Business Practice Location Address Details
Address
217 W Ironwood Dr
City
State
Zip
83814-2651
Phone Number
208-765-8078
Fax Number
person
Provider Business Mailing Address Details
Address
217 W Ironwood Dr
City
State
Zip
83814-2651
Phone Number
208-765-8078
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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