Organization · Type 2 NPI
Shopko Stores Operating Co. LLC
Eyewear Supplier · Springfield, IL
NPI number
1760435333
Active
Practice location
3030 Wabash Ave
Springfield, IL 62704-6413
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
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About NPI 1760435333
Shopko Stores Operating Co. LLC's National Provider Identifier is 1760435333, issued on May 18, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Springfield, IL. The record was last updated on Jan 30, 2008.