Organization · Type 2 NPI

Shopko Stores Operating Co LLC

Eyewear Supplier · Waukesha, WI

NPI number 1275017907 Active

Practice location

1166 W Sunset Drive, Suite F100
Waukesha, WI 53189

Call (920) 429-2211 Map

Mailing address

700 Pilgrim Way
Green Bay, WI 54304-5263

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.

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About NPI 1275017907

Shopko Stores Operating Co LLC's National Provider Identifier is 1275017907, issued on Sep 19, 2018. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Waukesha, WI. The record was last updated on Sep 19, 2018.