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

SHOPKO STORES OPERATING COMPANY

Active Organization

SHOPKO STORES OPERATING COMPANY is a Optometrist organization located in GREEN BAY, Wisconsin. NPI 1962452052 is currently active in the NPPES registry. Verify at CMS.

Optometrist · GREEN BAY, WI

Registration Details

NPI Number
1962452052
Provider Type
Organization
NPI Issued
May 11, 2006 (20.250741231595 yrs)
Last Updated
Aug 22, 2020
License
1643-035 (WI)

Practice Information

Address
2430 E MASON ST
GREEN BAY, WI, 543023759
Browse WI providers · Browse ZIP 54302
Phone
9204684642
Fax
9204683490
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in GREEN BAY, 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.