Organization · Type 2 NPI
Shopko Stores Operating Co. LLC
Eyewear Supplier · Kenosha, WI
NPI number
1083667638
Active
Practice location
5300 52nd St
Kenosha, WI 53144-2310
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.
3 other providers at this address
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About NPI 1083667638
Shopko Stores Operating Co. LLC's National Provider Identifier is 1083667638, issued on May 17, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Kenosha, WI. The record was last updated on Feb 11, 2008.