Organization · Type 2 NPI

Shopko Stores Operating Co. LLC

Eyewear Supplier · St. Cloud, MN

NPI number 1174575500 Active

Practice location

4161 2nd St S
St. Cloud, MN 56301-3761

Call (320) 253-5994 Map

Specialties and licenses

TaxonomyCodeLicense
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.

5 other providers at this address

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About NPI 1174575500

Shopko Stores Operating Co. LLC's National Provider Identifier is 1174575500, issued on May 16, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in St. Cloud, MN. The record was last updated on Apr 15, 2008.