SHOPKO STORES OPERATING CO. LLC NPI 1073565594

NPI Information

SHOPKO STORES OPERATING CO. LLC is an eyewear supplier in Houghton, MI. 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 1073565594. The provider is registered as an organization entity type.
The provider Is Doing Business As Shopko Optical 123.

The provider's business location address is:

900 MEMORIAL RD
HOUGHTON, MI
ZIP 49931-481
Phone: (906) 487-9767

The provider's authorized official is Russell Steinhorst .
The authorized official title is Svp Chief Financial Officer and has the following contact phone number (920) 429-7489.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 11/3/2015.

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:

Other Identifiers

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