institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Madison, Wisconsin
NPI 1518919513

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Madison, WI. Shopko Stores Operating Co. Llc practices in Madison, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1518919513 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 2602 Shopko Dr, Madison, WI and can be reached out via phone at 608-249-6967.

Location: 2602 Shopko Dr, Madison, WI, 53704-4074
institution
Provider Profile Details
NPI Number
1518919513
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
2602 Shopko Dr, Madison, WI, 53704-4074
Phone Number
608-249-6967
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
014034 01 VIP
35573 01 AVESIS
42616 01 DAVIS
CP2230-77 01 EYEMED
17651 01 MEDICARE
410985054-4034 01 NVA
38418400 05 WI
institution
Provider Business Practice Location Address Details
Address
2602 Shopko Dr
City
State
Zip
53704-4074
Phone Number
608-249-6967
Fax Number
person
Provider Business Mailing Address Details
Address
2602 Shopko Dr
City
State
Zip
53704-4074
Phone Number
608-249-6967
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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