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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

Optometrist · OREGON, WI

Registration Details

NPI Number
1265483168
Provider Type
Organization
NPI Issued
May 15, 2006 (19.976590085782 yrs)
Last Updated
Aug 22, 2020
License
1772 (WI)

Practice Information

Address
6218 TRAIL RIDGE CT
OREGON, WI, 535752534
Browse WI providers · Browse ZIP 53575
Phone
6082229420
Fax
6082220578
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in OREGON, 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.