institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Quincy, Illinois
NPI 1649222662

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Quincy, IL. Shopko Stores Operating Co. Llc practices in Quincy, IL. The NPI Number for Shopko Stores Operating Co. Llc is 1649222662 and holds a License No. (Illinois).

The current practice location address for Shopko Stores Operating Co. Llc is 3200 Broadway St, Quincy, IL and can be reached out via phone at 217-224-0993.

Location: 3200 Broadway St, Quincy, IL, 62301-3712
institution
Provider Profile Details
NPI Number
1649222662
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
3200 Broadway St, Quincy, IL, 62301-3712
Phone Number
217-224-0993
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
014139 01 VIP
CP2521-5 01 EYEMED
42554 01 DAVIS
35459 01 AVESIS
5232016 01 IL BCBS IL
17686 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
3200 Broadway St
City
State
Zip
62301-3712
Phone Number
217-224-0993
Fax Number
person
Provider Business Mailing Address Details
Address
3200 Broadway St
City
State
Zip
62301-3712
Phone Number
217-224-0993
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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