Organization · Type 2 NPI

Shopko Stores Operating Co. LLC

Eyewear Supplier · Provo, UT

NPI number 1982656419 Active

Practice location

2266 N University Pkwy
Provo, UT 84604-1510

Call (801) 373-1300 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.

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About NPI 1982656419

Shopko Stores Operating Co. LLC's National Provider Identifier is 1982656419, issued on May 16, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Provo, UT. The record was last updated on Jul 10, 2008.