Organization · Type 2 NPI
Shopko Stores Operating Co. LLC
Eyewear Supplier · Peoria, IL
NPI number
1073565180
Active
Practice location
2323 W Pioneer Pkwy
Peoria, IL 61615-1833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Another provider at this address
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About NPI 1073565180
Shopko Stores Operating Co. LLC's National Provider Identifier is 1073565180, issued on May 17, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Peoria, IL. The record was last updated on Sep 28, 2007.