Organization · Type 2 NPI
Shopko Stores Operating Co LLC
Eyewear Supplier · North Branch, MN
NPI number
1689835647
Active
Practice location
5630 St Croix Trail
North Branch, MN 55056
Fax (651) 674-9907
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 North Branch
About NPI 1689835647
Shopko Stores Operating Co LLC's National Provider Identifier is 1689835647, issued on Jun 23, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in North Branch, MN. The record was last updated on Jun 18, 2009.