institution
Shopko Stores Operating Co Llc
Eyewear Supplier in Green Bay, Wisconsin
NPI 1942483342

Shopko Stores Operating Co Llc is a Eyewear Supplier based in Green Bay, WI. Shopko Stores Operating Co Llc practices in Green Bay, WI. The NPI Number for Shopko Stores Operating Co Llc is 1942483342 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co Llc is 2320 Lineville Rd, Green Bay, WI and can be reached out via phone at 920-434-5845. You can also correspond with Shopko Stores Operating Co Llc through the mailing address at 2320 LINEVILLE RD, GREEN BAY, WI - 54313-8836 (mailing address contact number: 920-434-5845).

Location: 2320 Lineville Rd, Green Bay, WI, 54313-8836
institution
Provider Profile Details
NPI Number
1942483342
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
2320 Lineville Rd, Green Bay, WI, 54313-8836
Phone Number
920-434-5845
Fax Number
Provider Enumeration Date
12/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47608 01 AVESIS
1952356644 01 UNTIED HEALTHCARE
38461000 05 WI
146151 01 EYEMED
1952356644 01 NETWORK HEALTH
125950 01 VIP
58936 01 DAVIS
DF0804 01 RR MC
institution
Provider Business Practice Location Address Details
Address
2320 Lineville Rd
City
State
Zip
54313-8836
Phone Number
920-434-5845
Fax Number
person
Provider Business Mailing Address Details
Address
2320 Lineville Rd
City
State
Zip
54313-8836
Phone Number
920-434-5845
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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