Organization · Type 2 NPI

Shopko Stores Operating Co. LLC

Eyewear Supplier · Bountiful, UT

NPI number 1205889078 Active

Practice location

190 S 500 W
Bountiful, UT 84010-8729

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.

3 other providers at this address

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About NPI 1205889078

Shopko Stores Operating Co. LLC's National Provider Identifier is 1205889078, issued on May 19, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Bountiful, UT. The record was last updated on Jul 10, 2008.