Organization · Type 2 NPI
Shopko Stores Operating Co. LLC
Eyewear Supplier · Fort Madison, IA
NPI number
1629021480
Active
Practice location
4810 Avenue O
Fort Madison, IA 52627-9677
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
About NPI 1629021480
Shopko Stores Operating Co. LLC's National Provider Identifier is 1629021480, issued on May 19, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fort Madison, IA. The record was last updated on Jan 30, 2008.