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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 EAST PEORIA, Illinois. NPI 1619929015 is currently active in the NPPES registry. Verify at CMS.

Eyewear Supplier · EAST PEORIA, IL

Registration Details

NPI Number
1619929015
Provider Type
Organization
NPI Issued
May 16, 2006 (20.278267520259 yrs)
Last Updated
Sep 28, 2007

Practice Information

Address
105 N MAIN ST
EAST PEORIA, IL, 616112543
Browse IL providers · Browse ZIP 61611
Phone
3096946470
Primary Specialty
Eyewear Supplier
332H00000X

Other Eyewear Supplier Organizations in EAST PEORIA, IL

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.