institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Jacksonville, Illinois
NPI 1679525729

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Jacksonville, IL. Shopko Stores Operating Co. Llc practices in Jacksonville, IL. The NPI Number for Shopko Stores Operating Co. Llc is 1679525729 and holds a License No. (Illinois).

The current practice location address for Shopko Stores Operating Co. Llc is 1964 W Morton Ave, Jacksonville, IL and can be reached out via phone at 217-245-6070. You can also correspond with Shopko Stores Operating Co. Llc through the mailing address at 1964 W MORTON AVE, JACKSONVILLE, IL - 62650-2621 (mailing address contact number: 217-245-6070).

Location: 1964 W Morton Ave, Jacksonville, IL, 62650-2621
institution
Provider Profile Details
NPI Number
1679525729
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1964 W Morton Ave, Jacksonville, IL, 62650-2621
Phone Number
217-245-6070
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
35456 01 AVESIS
13118 01 MEDICARE
5232016 01 IL BCBS IL
014140 01 VIP
42555 01 DAVIS
CP2521-3 01 EYEMED
institution
Provider Business Practice Location Address Details
Address
1964 W Morton Ave
City
State
Zip
62650-2621
Phone Number
217-245-6070
Fax Number
person
Provider Business Mailing Address Details
Address
1964 W Morton Ave
City
State
Zip
62650-2621
Phone Number
217-245-6070
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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