institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Racine, Wisconsin
NPI 1750333803

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Racine, WI. Shopko Stores Operating Co. Llc practices in Racine, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1750333803 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 4801 Washington Ave, Racine, WI and can be reached out via phone at 262-637-3733.

Location: 4801 Washington Ave, Racine, WI, 53406-4219
institution
Provider Profile Details
NPI Number
1750333803
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
4801 Washington Ave, Racine, WI, 53406-4219
Phone Number
262-637-3733
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
410985054-4027 01 NVA
146151-1 01 EYEMED
17645 01 MEDICARE
38409300 05 WI
42620 01 DAVIS
014027 01 VIP
institution
Provider Business Practice Location Address Details
Address
4801 Washington Ave
City
State
Zip
53406-4219
Phone Number
262-637-3733
Fax Number
person
Provider Business Mailing Address Details
Address
4801 Washington Ave
City
State
Zip
53406-4219
Phone Number
262-637-3733
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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