institution
Shopko Stores Operating Co Llc
Eyewear Supplier in Salem, Oregon
NPI 1790736023

Shopko Stores Operating Co Llc is a Eyewear Supplier based in Salem, OR. Shopko Stores Operating Co Llc practices in Salem, OR. The NPI Number for Shopko Stores Operating Co Llc is 1790736023 and holds a License No. (Oregon).

The current practice location address for Shopko Stores Operating Co Llc is 1230 Lancaster Dr Se, Salem, OR and can be reached out via phone at 503-371-6575.

Location: 1230 Lancaster Dr Se, Salem, OR, 97317-5800
institution
Provider Profile Details
NPI Number
1790736023
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
1230 Lancaster Dr Se, Salem, OR, 97317-5800
Phone Number
503-371-6575
Fax Number
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
039904 05 OR
039912 05 OR
CP2230-36 01 EYEMED
410985054-4111 01 NVA
35512 01 AVESIS
014111 01 VIP
42514 01 DAVIS VISION
institution
Provider Business Practice Location Address Details
Address
1230 Lancaster Dr Se
City
State
Zip
97317-5800
Phone Number
503-371-6575
Fax Number
person
Provider Business Mailing Address Details
Address
1230 Lancaster Dr Se
City
State
Zip
97317-5800
Phone Number
503-371-6575
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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