Organization · Type 2 NPI
Shopko Stores Operating Co LLC
Eyewear Supplier · Council Bluffs, IA
NPI number
1366608440
Active
Practice location
3271 Marketplace Dr
Council Bluffs, IA 51501-7908
Fax (712) 366-9020
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.
Another provider at this address
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About NPI 1366608440
Shopko Stores Operating Co LLC's National Provider Identifier is 1366608440, issued on Jul 29, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Council Bluffs, IA. The record was last updated on Aug 24, 2009.