SHOPKO STORES OPERATING CO. LLC

Eyewear Supplier

Active Organization
NPI: 1295788065

Practice Address

4060 RIVERDALE RD
Riverdale, UT 84405

Phone: (801) 392-4300

Specialties

Specialty Code Primary License
Optometrist 152W00000X No -
Technician/Technologist - Optician 156FX1800X No -
Eyewear Supplier 332H00000X Yes -

Frequently Asked Questions

NPI 1295788065 is the National Provider Identifier for SHOPKO STORES OPERATING CO. LLC, a Eyewear Supplier provider located in Riverdale, UT. This NPI was enumerated on May 19, 2006.

Quick Facts

NPI
1295788065
Type
Organization
Enumerated
May 19, 2006
Last Updated
Jul 10, 2008

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