Organization · Type 2 NPI

Shopko Optical Manufacturing LLC

Eyewear Supplier · De Pere, WI

NPI number 1821243650 Active

Practice location

1450 W Main Ave
De Pere, WI 54115-9369

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone 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.

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About NPI 1821243650

Shopko Optical Manufacturing LLC's National Provider Identifier is 1821243650, issued on Nov 20, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in De Pere, WI. The record was last updated on Feb 24, 2009.