institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Kimberly, Wisconsin
NPI 1932152501

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Kimberly, WI. Shopko Stores Operating Co. Llc practices in Kimberly, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1932152501 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 800 E Maes Ave, Kimberly, WI and can be reached out via phone at 920-788-4114.

Location: 800 E Maes Ave, Kimberly, WI, 54136-1527
institution
Provider Profile Details
NPI Number
1932152501
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
800 E Maes Ave, Kimberly, WI, 54136-1527
Phone Number
920-788-4114
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17646 01 MEDICARE
42621 01 DAVIS
014028 01 VIP
35569 01 AVESIS
38409100 05 WI
CP2230-74 01 EYEMED
410985054-4028 01 NVA
institution
Provider Business Practice Location Address Details
Address
800 E Maes Ave
City
State
Zip
54136-1527
Phone Number
920-788-4114
Fax Number
person
Provider Business Mailing Address Details
Address
800 E Maes Ave
City
State
Zip
54136-1527
Phone Number
920-788-4114
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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