institution
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. You can also correspond with Shopko Stores Operating Co. Llc through the mailing address at 4810 AVENUE O, FORT MADISON, IA - 52627-9677 (mailing address contact number: 319-372-8633).

Location: 4810 Avenue O, Fort Madison, IA, 52627-9677
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
State
Zip
52627-9677
Phone Number
319-372-8633
Fax Number
person
Provider Business Mailing Address Details
Address
4810 Avenue O
City
State
Zip
52627-9677
Phone Number
319-372-8633
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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