Organization · Type 2 NPI
Shopko Stores Operating Co. LLC
Eyewear Supplier · Logan, UT
NPI number
1609828136
Active
Practice location
1341 N Main St
Logan, UT 84341-2221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | None listed |
| Optician | 156FX1800X | None listed |
| 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.
2 other providers at this address
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About NPI 1609828136
Shopko Stores Operating Co. LLC's National Provider Identifier is 1609828136, issued on May 16, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Logan, UT. The record was last updated on Jul 10, 2008.