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Shopko Optical Manufacturing Llc
Eyewear Supplier in De Pere, Wisconsin
NPI 1821243650

Shopko Optical Manufacturing Llc is a Eyewear Supplier based in De Pere, WI. Shopko Optical Manufacturing Llc practices in De Pere, WI. The NPI Number for Shopko Optical Manufacturing Llc is 1821243650 and holds a License No. (Wisconsin).

The current practice location address for Shopko Optical Manufacturing Llc is 1450 W Main Ave, De Pere, WI and can be reached out via phone at 920-429-7253.

Location: 1450 W Main Ave, De Pere, WI, 54115-9369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821243650
Provider Name
Shopko Optical Manufacturing Llc
Credential
Provider Entity Type
Organization
Address
1450 W Main Ave, De Pere, WI, 54115-9369
Phone Number
920-429-7253
Fax Number
Provider Enumeration Date
11/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38456800 05 WI
institution
Provider Business Practice Location Address Details
Address
1450 W Main Ave
City
De Pere
State
Wisconsin
Zip
54115-9369
Phone Number
920-429-7253
Fax Number
person
Provider Business Mailing Address Details
Address
1450 W Main Ave
City
De Pere
State
Wisconsin
Zip
54115-9369
Phone Number
920-429-7253
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
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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