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Shopko Stores Operating Co. Llc
Eyewear Supplier in Neenah, Wisconsin
NPI 1912950619

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Neenah, WI. Shopko Stores Operating Co. Llc practices in Neenah, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1912950619 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 699 Green Bay Rd, Neenah, WI and can be reached out via phone at 920-751-0275.

Location: 699 Green Bay Rd, Neenah, WI, 54956-3153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912950619
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
699 Green Bay Rd, Neenah, WI, 54956-3153
Phone Number
920-751-0275
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
17659 01 MEDICARE
38443900 05 WI
410985054-4100 01 NVA
014100 01 VIP
42585 01 DAVIS
CP2230-83 01 EYEMED
institution
Provider Business Practice Location Address Details
Address
699 Green Bay Rd
City
Neenah
State
Wisconsin
Zip
54956-3153
Phone Number
920-751-0275
Fax Number
person
Provider Business Mailing Address Details
Address
699 Green Bay Rd
City
Neenah
State
Wisconsin
Zip
54956-3153
Phone Number
920-751-0275
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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