institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in River Falls, Wisconsin
NPI 1508819137

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in River Falls, WI. Shopko Stores Operating Co. Llc practices in River Falls, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1508819137 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 1777 Paulson Rd, River Falls, WI and can be reached out via phone at 715-425-6144.

Location: 1777 Paulson Rd, River Falls, WI, 54022-8299
institution
Provider Profile Details
NPI Number
1508819137
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1777 Paulson Rd, River Falls, WI, 54022-8299
Phone Number
715-425-6144
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
000087130 01 MEDICARE
32682 05 WI
410985054-4130 01 NVA
CP2230-88 01 EYEMED
2100691 05 WI
4C079SH 05 WI
014130 01 VIP
38449800 05 WI
42550 01 DAVIS
4C080SH 05 WI
17664 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
1777 Paulson Rd
City
State
Zip
54022-8299
Phone Number
715-425-6144
Fax Number
person
Provider Business Mailing Address Details
Address
1777 Paulson Rd
City
State
Zip
54022-8299
Phone Number
715-425-6144
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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