institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Worthington, Minnesota
NPI 1871545996

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Worthington, MN. Shopko Stores Operating Co. Llc practices in Worthington, MN. The NPI Number for Shopko Stores Operating Co. Llc is 1871545996 and holds a License No. (Minnesota).

The current practice location address for Shopko Stores Operating Co. Llc is 1755 N Humiston Ave, Worthington, MN and can be reached out via phone at 507-372-7811.

Location: 1755 N Humiston Ave, Worthington, MN, 56187-1757
institution
Provider Profile Details
NPI Number
1871545996
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1755 N Humiston Ave, Worthington, MN, 56187-1757
Phone Number
507-372-7811
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
17829 01 MEDICARE
3C194SH 01 MN BLUE PLUS CARE
20019120528 01 MN MA PRIMEWEST HEALTH
42492 01 DAVIS
213121-19 01 EYEMED
35487 01 AVESIS
014058 01 VIP
33300 01 MN HEALTH PARTNERS
institution
Provider Business Practice Location Address Details
Address
1755 N Humiston Ave
City
State
Zip
56187-1757
Phone Number
507-372-7811
Fax Number
person
Provider Business Mailing Address Details
Address
1755 N Humiston Ave
City
State
Zip
56187-1757
Phone Number
507-372-7811
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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