Organization · Type 2 NPI

Shopko Stores Operating Co. LLC

Eyewear Supplier · Spanish Fork, UT

NPI number 1114970985 Active

Practice location

955 N Main St
Spanish Fork, UT 84660-1150

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000XNone listed
Optician 156FX1800XNone listed
Eyewear Supplier Primary 332H00000XNone listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

2 other providers at this address

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About NPI 1114970985

Shopko Stores Operating Co. LLC's National Provider Identifier is 1114970985, issued on May 19, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Spanish Fork, UT. The record was last updated on Jul 10, 2008.