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Shopko Stores Operating Co. Llc
Eyewear Supplier in Onalaska, Wisconsin
NPI 1972556694

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Onalaska, WI. Shopko Stores Operating Co. Llc practices in Onalaska, WI. The NPI Number for Shopko Stores Operating Co. Llc is 1972556694 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co. Llc is 9366 State Road 16, Onalaska, WI and can be reached out via phone at 608-781-2010.

Location: 9366 State Road 16, Onalaska, WI, 54650-8526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972556694
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
9366 State Road 16, Onalaska, WI, 54650-8526
Phone Number
608-781-2010
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
CP2230-84 01 EYEMED
42583 01 DAVIS
014099 01 VIP
17658 01 MEDICARE
410985054-4099 01 NVA
35581 01 AVESIS
38442000 05 WI
institution
Provider Business Practice Location Address Details
Address
9366 State Road 16
City
Onalaska
State
Wisconsin
Zip
54650-8526
Phone Number
608-781-2010
Fax Number
person
Provider Business Mailing Address Details
Address
9366 State Road 16
City
Onalaska
State
Wisconsin
Zip
54650-8526
Phone Number
608-781-2010
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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