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Shopko Stores Operating Co. Llc
Eyewear Supplier in Marshfield, Wisconsin
NPI 1902858970

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Marshfield, WI. Shopko Stores Operating Co. Llc practices in Marshfield, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1902858970 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 1306 N Central Ave, Marshfield, WI and can be reached out via phone at 715-387-8608.

Location: 1306 N Central Ave, Marshfield, WI, 54449-1507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902858970
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1306 N Central Ave, Marshfield, WI, 54449-1507
Phone Number
715-387-8608
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
17640 01 MEDICARE
38416900 05 WI
410985054-4009 01 NVA
42566 01 DAVIS
87831 01 MEDICARE
014009 01 VIP
CP2230-81 01 EYEMED
institution
Provider Business Practice Location Address Details
Address
1306 N Central Ave
City
Marshfield
State
Wisconsin
Zip
54449-1507
Phone Number
715-387-8608
Fax Number
person
Provider Business Mailing Address Details
Address
1306 N Central Ave
City
Marshfield
State
Wisconsin
Zip
54449-1507
Phone Number
715-387-8608
Fax Number
person
Provider's Taxonomy Details 1
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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