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Shopko Stores Operating Co. Llc
Eyewear Supplier in Marinette, Wisconsin
NPI 1649222522

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Marinette, WI. Shopko Stores Operating Co. Llc practices in Marinette, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1649222522 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 2741 Roosevelt Rd, Marinette, WI and can be reached out via phone at 715-735-0260.

Location: 2741 Roosevelt Rd, Marinette, WI, 54143-3833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649222522
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
2741 Roosevelt Rd, Marinette, WI, 54143-3833
Phone Number
715-735-0260
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
35577 01 AVESIS
42580 01 DAVIS
38443800 05 WI
CP2230-80 01 EYEMED
014102 01 VIP
13862 01 MEDICARE
410985054-4102 01 NVA
institution
Provider Business Practice Location Address Details
Address
2741 Roosevelt Rd
City
Marinette
State
Wisconsin
Zip
54143-3833
Phone Number
715-735-0260
Fax Number
person
Provider Business Mailing Address Details
Address
2741 Roosevelt Rd
City
Marinette
State
Wisconsin
Zip
54143-3833
Phone Number
715-735-0260
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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