Organization · Type 2 NPI
Shopko Stores Operating Co LLC
Eyewear Supplier · Brillion, WI
NPI number
1376821629
Active
Practice location
1010 W Ryan St
Brillion, WI 54110-0000
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.
3 other providers at this address
Other eyewear supplier providers in Brillion
About NPI 1376821629
Shopko Stores Operating Co LLC's National Provider Identifier is 1376821629, issued on Aug 3, 2011. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Brillion, WI. The record was last updated on Dec 9, 2011.