institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Plover, Wisconsin
NPI 1578516936

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Plover, WI. Shopko Stores Operating Co. Llc practices in Plover, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1578516936 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 1800 Plover Rd, Plover, WI and can be reached out via phone at 715-342-9634.

Location: 1800 Plover Rd, Plover, WI, 54467-3978
institution
Provider Profile Details
NPI Number
1578516936
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1800 Plover Rd, Plover, WI, 54467-3978
Phone Number
715-342-9634
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17666 01 MEDICARE
38716300 05 WI
35583 01 AVESIS
47565 01 MEDICARE
014171 01 VIP
CP2230-86 01 EYEMED
42570 01 DAVIS
institution
Provider Business Practice Location Address Details
Address
1800 Plover Rd
City
State
Zip
54467-3978
Phone Number
715-342-9634
Fax Number
person
Provider Business Mailing Address Details
Address
1800 Plover Rd
City
State
Zip
54467-3978
Phone Number
715-342-9634
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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