institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Omaha, Nebraska
NPI 1649222878

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Omaha, NE. Shopko Stores Operating Co. Llc practices in Omaha, NE. The NPI Number for Shopko Stores Operating Co. Llc is 1649222878 and holds a License No. (Nebraska).

The current practice location address for Shopko Stores Operating Co. Llc is 3044 S 84Th St Ste 1, Omaha, NE and can be reached out via phone at 402-391-1143.

Location: 3044 S 84Th St Ste 1, Omaha, NE, 68124-3208
institution
Provider Profile Details
NPI Number
1649222878
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
3044 S 84Th St Ste 1, Omaha, NE, 68124-3208
Phone Number
402-391-1143
Fax Number
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35504 01 AVESIS
17884 01 MEDICARE
260474 01 MEDICARE
41098505418 05 NE
007124 01 BLOCK
014044 01 VIP
35860 01 DAVIS
CP2230-31 01 EYEMED
institution
Provider Business Practice Location Address Details
Address
3044 S 84Th St Ste 1
City
State
Zip
68124-3208
Phone Number
402-391-1143
Fax Number
person
Provider Business Mailing Address Details
Address
3044 S 84Th St Ste 1
City
State
Zip
68124-3208
Phone Number
402-391-1143
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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