institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Dixon, Illinois
NPI 1700838729

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Dixon, IL. Shopko Stores Operating Co. Llc practices in Dixon, IL. The NPI Number for Shopko Stores Operating Co. Llc is 1700838729 and holds a License No. (Illinois).

The current practice location address for Shopko Stores Operating Co. Llc is 1350 N Galena Ave, Dixon, IL and can be reached out via phone at 815-284-3935.

Location: 1350 N Galena Ave, Dixon, IL, 61021-1010
institution
Provider Profile Details
NPI Number
1700838729
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1350 N Galena Ave, Dixon, IL, 61021-1010
Phone Number
815-284-3935
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
014119 01 VIP
5232016 01 IL BCBS IL
CP2230-13 01 EYEMED
17683 01 MEDICARE
42531 01 DAVIS
institution
Provider Business Practice Location Address Details
Address
1350 N Galena Ave
City
State
Zip
61021-1010
Phone Number
815-284-3935
Fax Number
person
Provider Business Mailing Address Details
Address
1350 N Galena Ave
City
State
Zip
61021-1010
Phone Number
815-284-3935
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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