Organization · Type 2 NPI
Shopko Stores Operating Co. LLC
Eyewear Supplier · Grafton, WI
NPI number
1104879808
Active
Practice location
1771 Wisconsin Ave
Grafton, WI 53024-2437
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.
4 other providers at this address
Other eyewear supplier providers in Grafton
About NPI 1104879808
Shopko Stores Operating Co. LLC's National Provider Identifier is 1104879808, issued on May 17, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Grafton, WI. The record was last updated on Feb 11, 2008.