institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Omaha, Nebraska
NPI 1518919786

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Omaha, NE. Shopko Stores Operating Co. Llc practices in Omaha, NE. The NPI Number for Shopko Stores Operating Co. Llc is 1518919786 and holds a License No. (Nebraska).

The current practice location address for Shopko Stores Operating Co. Llc is 5646 N 90Th St, Omaha, NE and can be reached out via phone at 402-572-1604.

Location: 5646 N 90Th St, Omaha, NE, 68134-1808
institution
Provider Profile Details
NPI Number
1518919786
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
5646 N 90Th St, Omaha, NE, 68134-1808
Phone Number
402-572-1604
Fax Number
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35862 01 DAVIS
41098505412 05 NE
014046 01 VIP
35505 01 AVESIS
268733 01 MEDICARE
007120 01 BLOCK
CP2230-32 01 EYEMED
17886 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
5646 N 90Th St
City
State
Zip
68134-1808
Phone Number
402-572-1604
Fax Number
person
Provider Business Mailing Address Details
Address
5646 N 90Th St
City
State
Zip
68134-1808
Phone Number
402-572-1604
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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