institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Albert Lea, Minnesota
NPI 1528010642

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Albert Lea, MN. Shopko Stores Operating Co. Llc practices in Albert Lea, MN. The NPI Number for Shopko Stores Operating Co. Llc is 1528010642 and holds a License No. (Minnesota).

The current practice location address for Shopko Stores Operating Co. Llc is 2610 Bridge Ave, Albert Lea, MN and can be reached out via phone at 507-373-2269.

Location: 2610 Bridge Ave, Albert Lea, MN, 56007-2075
institution
Provider Profile Details
NPI Number
1528010642
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
2610 Bridge Ave, Albert Lea, MN, 56007-2075
Phone Number
507-373-2269
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
410985054-4060 01 NATIONAL VISION ADMIN.
014060 01 VIP
36059 01 MN HEALTH PARTNERS
21000715 01 MN MA MEDICA CHOICE CARE
30329SH 01 MN BLUE PLUS CARE
35466 01 AVESIS
03092036206 01 MN MA PRIMEWEST HEALTH
30328SH 01 MN MA FIRST PLAN OF MN
17831 01 MEDICARE
42496 01 DAVIS
CP2230-17 01 EYEMED
institution
Provider Business Practice Location Address Details
Address
2610 Bridge Ave
City
State
Zip
56007-2075
Phone Number
507-373-2269
Fax Number
person
Provider Business Mailing Address Details
Address
2610 Bridge Ave
City
State
Zip
56007-2075
Phone Number
507-373-2269
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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