Organization · Type 2 NPI

Shopko Stores Operating Co. LLC

Eyewear Supplier · Ogden, UT

NPI number 1790737955 Active

Practice location

1018 Washington Blvd
Ogden, UT 84404-4949

Call (801) 392-5100 Map

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000XNone listed
Optician 156FX1800XNone listed
Eyewear Supplier Primary 332H00000XNone listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

3 other providers at this address

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About NPI 1790737955

Shopko Stores Operating Co. LLC's National Provider Identifier is 1790737955, issued on May 16, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Ogden, UT. The record was last updated on Jul 10, 2008.