institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Mankato, Minnesota
NPI 1639121601

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Mankato, MN. Shopko Stores Operating Co. Llc practices in Mankato, MN. The NPI Number for Shopko Stores Operating Co. Llc is 1639121601 and holds a License No. (Minnesota).

The current practice location address for Shopko Stores Operating Co. Llc is 1850 E Madison Ave, Mankato, MN and can be reached out via phone at 507-387-6517.

Location: 1850 E Madison Ave, Mankato, MN, 56001-5448
institution
Provider Profile Details
NPI Number
1639121601
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1850 E Madison Ave, Mankato, MN, 56001-5448
Phone Number
507-387-6517
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
014021 01 VIP
2100546 01 MN MA MEDICA CHOICE CARE
41619SH 01 MN MA FIRST PLAN OF MN
35694 01 AVESIS
410985054-4021 01 NATIONAL VISION ADMIN.
213121-14 01 EYEMED
17822 01 MEDICARE
20019120525 01 MN MA PRIMEWEST HEALTH
42607 01 DAVIS
institution
Provider Business Practice Location Address Details
Address
1850 E Madison Ave
City
State
Zip
56001-5448
Phone Number
507-387-6517
Fax Number
person
Provider Business Mailing Address Details
Address
1850 E Madison Ave
City
State
Zip
56001-5448
Phone Number
507-387-6517
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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