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Shopko Stores Operating Co. Llc
Eyewear Supplier in Fort Madison, Iowa
NPI 1629021480

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Fort Madison, IA. Shopko Stores Operating Co. Llc practices in Fort Madison, IA. The NPI Number for Shopko Stores Operating Co. Llc is 1629021480 and holds a License No. (Iowa).

The current practice location address for Shopko Stores Operating Co. Llc is 4810 Avenue O, Fort Madison, IA and can be reached out via phone at 319-372-8633.

Location: 4810 Avenue O, Fort Madison, IA, 52627-9677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629021480
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
4810 Avenue O, Fort Madison, IA, 52627-9677
Phone Number
319-372-8633
Fax Number
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
I8499 01 MEDICARE
014142 01 VIP
0252080 05 IA
CP2521-2 01 EYEMED
17709 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
4810 Avenue O
City
Fort Madison
State
Iowa
Zip
52627-9677
Phone Number
319-372-8633
Fax Number
person
Provider Business Mailing Address Details
Address
4810 Avenue O
City
Fort Madison
State
Iowa
Zip
52627-9677
Phone Number
319-372-8633
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
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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