Organization · Type 2 NPI
Shopko Stores Operating Co. LLC
Eyewear Supplier · East Peoria, IL
NPI number
1619929015
Active
Practice location
105 N Main St
East Peoria, IL 61611-2543
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
Other eyewear supplier providers in East Peoria
About NPI 1619929015
Shopko Stores Operating Co. LLC's National Provider Identifier is 1619929015, issued on May 16, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in East Peoria, IL. The record was last updated on Sep 28, 2007.