SHOPKO STORES OPERATING CO LLC NPI 1275017907

NPI Information

SHOPKO STORES OPERATING CO LLC is an eyewear supplier in Waukesha, WI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SHOPKO STORES OPERATING CO LLC NPI is 1275017907. The provider is registered as an organization entity type.

The provider's business location address is:

1166 W SUNSET DRIVE
SUITE F100
WAUKESHA, WI
ZIP 53189
Phone: (920) 429-2211

The provider's authorized official is Dilip Sedani .
The authorized official title is Vp and has the following contact phone number (920) 429-7688.

The enumeration date for this NPI number is 9/19/2018 and was last updated on 9/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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