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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHOPKO STORES OPERATING CO. LLC

Active Organization

SHOPKO STORES OPERATING CO. LLC is a Eyewear Supplier organization located in GRAFTON, Wisconsin. NPI 1104879808 is currently active in the NPPES registry. Verify at CMS.

Eyewear Supplier · GRAFTON, WI

Registration Details

NPI Number
1104879808
Provider Type
Organization
NPI Issued
May 17, 2006 (20.253074474234 yrs)
Last Updated
Feb 11, 2008

Practice Information

Address
1771 WISCONSIN AVE
GRAFTON, WI, 530242437
Browse WI providers · Browse ZIP 53024
Phone
2623750505
Primary Specialty
Eyewear Supplier
332H00000X

Other Eyewear Supplier Organizations in GRAFTON, WI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.