institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Kingsford, Michigan
NPI 1851341390

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Kingsford, MI. Shopko Stores Operating Co. Llc practices in Kingsford, MI. The NPI Number for Shopko Stores Operating Co. Llc is 1851341390 and holds a License No. (Michigan).

The current practice location address for Shopko Stores Operating Co. Llc is 500 S Carpenter Ave, Kingsford, MI and can be reached out via phone at 906-779-9164.

Location: 500 S Carpenter Ave, Kingsford, MI, 49802-4529
institution
Provider Profile Details
NPI Number
1851341390
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
500 S Carpenter Ave, Kingsford, MI, 49802-4529
Phone Number
906-779-9164
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
014011 01 VIP
213121-11 01 EYEMED
38443600 05 WI
410985054-4011 01 NVA
0P06320 01 MEDICARE
35464 01 AVESIS
42578 01 DAVIS
17841 01 MEDICARECOMPLETE
institution
Provider Business Practice Location Address Details
Address
500 S Carpenter Ave
City
State
Zip
49802-4529
Phone Number
906-779-9164
Fax Number
person
Provider Business Mailing Address Details
Address
500 S Carpenter Ave
City
State
Zip
49802-4529
Phone Number
906-779-9164
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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