Organization · Type 2 NPI
Shopko Stores Operating Co LLC
Eyewear Supplier · Sussex, WI
NPI number
1316108376
Active
Practice location
N66 W25201 Cth V V
Sussex, WI 53089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
About NPI 1316108376
Shopko Stores Operating Co LLC's National Provider Identifier is 1316108376, issued on Jun 23, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Sussex, WI. The record was last updated on Sep 10, 2008.