institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Sheboygan, Wisconsin
NPI 1831141746

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Sheboygan, WI. Shopko Stores Operating Co. Llc practices in Sheboygan, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1831141746 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 518 S Taylor Dr, Sheboygan, WI and can be reached out via phone at 920-458-5757.

Location: 518 S Taylor Dr, Sheboygan, WI, 53081-4253
institution
Provider Profile Details
NPI Number
1831141746
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
518 S Taylor Dr, Sheboygan, WI, 53081-4253
Phone Number
920-458-5757
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
17660 01 MEDICARE
410985054-4116 01 NVA
014116 01 VIP
38710200 05 WI
CP230-90 01 EYEMED
42524 01 DAVIS
institution
Provider Business Practice Location Address Details
Address
518 S Taylor Dr
City
State
Zip
53081-4253
Phone Number
920-458-5757
Fax Number
person
Provider Business Mailing Address Details
Address
518 S Taylor Dr
City
State
Zip
53081-4253
Phone Number
920-458-5757
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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