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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 BEAVER DAM, Wisconsin. NPI 1396797411 is currently active in the NPPES registry. Verify at CMS.

Eyewear Supplier · BEAVER DAM, WI

Registration Details

NPI Number
1396797411
Provider Type
Organization
NPI Issued
May 17, 2006 (20.242410879249 yrs)
Last Updated
Feb 11, 2008

Practice Information

Address
822 PARK AVE
BEAVER DAM, WI, 539162266
Browse WI providers · Browse ZIP 53916
Phone
9208873791
Primary Specialty
Eyewear Supplier
332H00000X

Other Eyewear Supplier Organizations in BEAVER DAM, 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.