institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Monona, Wisconsin
NPI 1699727719

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Monona, WI. Shopko Stores Operating Co. Llc practices in Monona, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1699727719 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 2101 W Broadway, Monona, WI and can be reached out via phone at 608-222-9420.

Location: 2101 W Broadway, Monona, WI, 53713-1638
institution
Provider Profile Details
NPI Number
1699727719
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
2101 W Broadway, Monona, WI, 53713-1638
Phone Number
608-222-9420
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
35597 01 AVESIS
38416300 05 WI
014032 01 VIP
17668 01 MEDICARE
410985054-4032 01 NVA
42613 01 DAVIS
CP2230-96 01 EYEMED
institution
Provider Business Practice Location Address Details
Address
2101 W Broadway
City
State
Zip
53713-1638
Phone Number
608-222-9420
Fax Number
person
Provider Business Mailing Address Details
Address
2101 W Broadway
City
State
Zip
53713-1638
Phone Number
608-222-9420
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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