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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 JACKSONVILLE, Illinois. NPI 1679525729 is currently active in the NPPES registry. Verify at CMS.

Eyewear Supplier · JACKSONVILLE, IL

Registration Details

NPI Number
1679525729
Provider Type
Organization
NPI Issued
May 17, 2006 (20.239706715243 yrs)
Last Updated
Jun 4, 2008

Practice Information

Address
1964 W MORTON AVE
JACKSONVILLE, IL, 626502621
Browse IL providers · Browse ZIP 62650
Phone
2172456070
Primary Specialty
Eyewear Supplier
332H00000X

Other Eyewear Supplier Organizations in JACKSONVILLE, 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.