institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Austin, Minnesota
NPI 1558314104

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Austin, MN. Shopko Stores Operating Co. Llc practices in Austin, MN. The NPI Number for Shopko Stores Operating Co. Llc is 1558314104 and holds a License No. (Minnesota).

The current practice location address for Shopko Stores Operating Co. Llc is 1209 18Th Ave Nw, Austin, MN and can be reached out via phone at 507-437-8228.

Location: 1209 18Th Ave Nw, Austin, MN, 55912-1881
institution
Provider Profile Details
NPI Number
1558314104
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1209 18Th Ave Nw, Austin, MN, 55912-1881
Phone Number
507-437-8228
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
32500SH 01 MN BLUE PLUS CARE
36057 01 MN HEALTH PARTNERS
014041 01 VIP
20019120526 01 MN MA PRIMEWEST HEALTH
42593 01 DAVIS
32437SH 01 MN MA FIRST PLAN OF MN
17827 01 MEDICARE
213121-13 01 EYEMED
35554 01 AVESIS
institution
Provider Business Practice Location Address Details
Address
1209 18Th Ave Nw
City
State
Zip
55912-1881
Phone Number
507-437-8228
Fax Number
person
Provider Business Mailing Address Details
Address
1209 18Th Ave Nw
City
State
Zip
55912-1881
Phone Number
507-437-8228
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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