institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Chippewa Falls, Wisconsin
NPI 1730131749

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Chippewa Falls, WI. Shopko Stores Operating Co. Llc practices in Chippewa Falls, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1730131749 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 2677 S Prairie View Rd, Chippewa Falls, WI and can be reached out via phone at 715-726-1671.

Location: 2677 S Prairie View Rd, Chippewa Falls, WI, 54729-7506
institution
Provider Profile Details
NPI Number
1730131749
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
2677 S Prairie View Rd, Chippewa Falls, WI, 54729-7506
Phone Number
715-726-1671
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
87853 01 MEDICARE
CP2230-63 01 EYEMED
17652 01 MEDICARE
42623 01 DAVIS
014037 01 VIP
410985054-4037 01 NVA
38418200 05 WI
institution
Provider Business Practice Location Address Details
Address
2677 S Prairie View Rd
City
State
Zip
54729-7506
Phone Number
715-726-1671
Fax Number
person
Provider Business Mailing Address Details
Address
2677 S Prairie View Rd
City
State
Zip
54729-7506
Phone Number
715-726-1671
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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