institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Freeport, Illinois
NPI 1811949803

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Freeport, IL. Shopko Stores Operating Co. Llc practices in Freeport, IL. The NPI Number for Shopko Stores Operating Co. Llc is 1811949803 and holds a License No. (Illinois).

The current practice location address for Shopko Stores Operating Co. Llc is 555 W South St, Freeport, IL and can be reached out via phone at 815-232-3057.

Location: 555 W South St, Freeport, IL, 61032-6792
institution
Provider Profile Details
NPI Number
1811949803
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
555 W South St, Freeport, IL, 61032-6792
Phone Number
815-232-3057
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
35455 01 AVESIS
42542 01 DAVIS
5232016 01 IL BCBS IL
CP2230-15 01 EYEMED
014125 01 VIP
17684 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
555 W South St
City
State
Zip
61032-6792
Phone Number
815-232-3057
Fax Number
person
Provider Business Mailing Address Details
Address
555 W South St
City
State
Zip
61032-6792
Phone Number
815-232-3057
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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