institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Rothschild, Wisconsin
NPI 1588616692

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Rothschild, WI. Shopko Stores Operating Co. Llc practices in Rothschild, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1588616692 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 1039 E Grand Ave, Rothschild, WI and can be reached out via phone at 715-359-0649.

Location: 1039 E Grand Ave, Rothschild, WI, 54474-1022
institution
Provider Profile Details
NPI Number
1588616692
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1039 E Grand Ave, Rothschild, WI, 54474-1022
Phone Number
715-359-0649
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
CP2230-89 01 EYEMED
87830 01 MEDICARE
014008 01 VIP
42530 01 DAVIS
17639 01 MEDICARE
35589 01 AVESIS
38413100 05 WI
410985054-4008 01 NVA
institution
Provider Business Practice Location Address Details
Address
1039 E Grand Ave
City
State
Zip
54474-1022
Phone Number
715-359-0649
Fax Number
person
Provider Business Mailing Address Details
Address
1039 E Grand Ave
City
State
Zip
54474-1022
Phone Number
715-359-0649
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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