institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Dubuque, Iowa
NPI 1518910140

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Dubuque, IA. Shopko Stores Operating Co. Llc practices in Dubuque, IA. The NPI Number for Shopko Stores Operating Co. Llc is 1518910140 and holds a License No. (Iowa).

The current practice location address for Shopko Stores Operating Co. Llc is 255 John F Kennedy Rd, Dubuque, IA and can be reached out via phone at 563-583-5895.

Location: 255 John F Kennedy Rd, Dubuque, IA, 52002-5313
institution
Provider Profile Details
NPI Number
1518910140
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
255 John F Kennedy Rd, Dubuque, IA, 52002-5313
Phone Number
563-583-5895
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
014164 01 VIP
70091 01 MEDICARE
17711 01 MEDICARE
35437 01 AVESIS
025-6347 05 IA
OP1541 01 EYEMED
institution
Provider Business Practice Location Address Details
Address
255 John F Kennedy Rd
City
State
Zip
52002-5313
Phone Number
563-583-5895
Fax Number
person
Provider Business Mailing Address Details
Address
255 John F Kennedy Rd
City
State
Zip
52002-5313
Phone Number
563-583-5895
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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