Organization · Type 2 NPI

Shopko Stores Operating Co. LLC

Eyewear Supplier · Wausau, WI

NPI number 1386697092 Active

Practice location

200 S 18th Ave
Wausau, WI 54401-4252

Call (715) 842-8040 Map

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.

5 other providers at this address

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About NPI 1386697092

Shopko Stores Operating Co. LLC's National Provider Identifier is 1386697092, issued on May 17, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Wausau, WI. The record was last updated on Feb 11, 2008.