Organization · Type 2 NPI
Shopko Stores Operating Co. LLC
Eyewear Supplier · Boise, ID
NPI number
1982656096
Active
Practice location
8105 Fairview Ave
Boise, ID 83704-8486
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optician | 156FX1800X | None listed |
| 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 1982656096
Shopko Stores Operating Co. LLC's National Provider Identifier is 1982656096, issued on May 17, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Boise, ID. The record was last updated on Aug 3, 2009.