institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in La Crosse, Wisconsin
NPI 1548213184

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in La Crosse, WI. Shopko Stores Operating Co. Llc practices in La Crosse, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1548213184 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 4344 Mormon Coulee Rd, La Crosse, WI and can be reached out via phone at 608-788-8800.

Location: 4344 Mormon Coulee Rd, La Crosse, WI, 54601-7908
institution
Provider Profile Details
NPI Number
1548213184
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
4344 Mormon Coulee Rd, La Crosse, WI, 54601-7908
Phone Number
608-788-8800
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
38423700 05 WI
42527 01 DAVIS
000087829 01 MEDICARE
CP2230-75 01 EYEMED
35570 01 AVESIS
014007 01 VIP
17638 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
4344 Mormon Coulee Rd
City
State
Zip
54601-7908
Phone Number
608-788-8800
Fax Number
person
Provider Business Mailing Address Details
Address
4344 Mormon Coulee Rd
City
State
Zip
54601-7908
Phone Number
608-788-8800
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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