institution
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. You can also correspond with Shopko Stores Operating Co. Llc through the mailing address at 1306 N CENTRAL AVE, MARSHFIELD, WI - 54449-1507 (mailing address contact number: 715-387-8608).

Location: 1306 N Central Ave, Marshfield, WI, 54449-1507
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
State
Zip
54449-1507
Phone Number
715-387-8608
Fax Number
person
Provider Business Mailing Address Details
Address
1306 N Central Ave
City
State
Zip
54449-1507
Phone Number
715-387-8608
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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