Organization · Type 2 NPI

Shopko Stores Operating Co. LLC

Eyewear Supplier · Missoula, MT

NPI number 1174576748 Active

Practice location

2510 S Reserve St
Missoula, MT 59801-7546

Call (406) 721-4646 Map

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.

6 other providers at this address

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About NPI 1174576748

Shopko Stores Operating Co. LLC's National Provider Identifier is 1174576748, issued on May 18, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Missoula, MT. The record was last updated on Apr 24, 2008.