institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Springfield, Illinois
NPI 1760435333

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Springfield, IL. Shopko Stores Operating Co. Llc practices in Springfield, IL. The NPI Number for Shopko Stores Operating Co. Llc is 1760435333 and holds a License No. (Illinois).

The current practice location address for Shopko Stores Operating Co. Llc is 3030 Wabash Ave, Springfield, IL and can be reached out via phone at 217-698-9721. You can also correspond with Shopko Stores Operating Co. Llc through the mailing address at 3030 WABASH AVE, SPRINGFIELD, IL - 62704-6413 (mailing address contact number: 217-698-9721).

Location: 3030 Wabash Ave, Springfield, IL, 62704-6413
institution
Provider Profile Details
NPI Number
1760435333
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
3030 Wabash Ave, Springfield, IL, 62704-6413
Phone Number
217-698-9721
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42563 01 DAVIS
CP2521-6 01 EYEMED
17688 01 MEDICARE
014150 01 VIP
institution
Provider Business Practice Location Address Details
Address
3030 Wabash Ave
City
State
Zip
62704-6413
Phone Number
217-698-9721
Fax Number
person
Provider Business Mailing Address Details
Address
3030 Wabash Ave
City
State
Zip
62704-6413
Phone Number
217-698-9721
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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