Organization · Type 2 NPI

Shopko Stores Operating Co. LLC

Eyewear Supplier · Idaho Falls, ID

NPI number 1952354540 Active

Practice location

800 E 17th St
Idaho Falls, ID 83404-6151

Call (208) 522-3795 Map

Specialties and licenses

TaxonomyCodeLicense
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.

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About NPI 1952354540

Shopko Stores Operating Co. LLC's National Provider Identifier is 1952354540, issued on May 18, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 3, 2009.