Organization · Type 2 NPI
Shopko Stores Operating Co. LLC
Eyewear Supplier · Riverdale, UT
NPI number
1295788065
Active
Practice location
4060 Riverdale Rd
Riverdale, UT 84405-1518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | None listed |
| Optician | 156FX1800X | None listed |
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Another provider at this address
Other eyewear supplier providers in Riverdale
About NPI 1295788065
Shopko Stores Operating Co. LLC's National Provider Identifier is 1295788065, issued on May 19, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Riverdale, UT. The record was last updated on Jul 10, 2008.