Organization · Type 2 NPI

Shopko Stores Operating Co. LLC

Eyewear Supplier · Beaver Dam, WI

NPI number 1396797411 Active

Practice location

822 Park Ave
Beaver Dam, WI 53916-2266

Call (920) 887-3791 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.

8 other providers at this address

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About NPI 1396797411

Shopko Stores Operating Co. LLC's National Provider Identifier is 1396797411, issued on May 17, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Beaver Dam, WI. The record was last updated on Feb 11, 2008.