Shopko Stores Operating, Co , LLC
Shopko Stores Operating, Co , LLC is an Optometrist in Oregon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6218 Trail Ridge CtOregon, WI 53575-2534
Phone: (608) 222-9420
Fax: (608) 222-0578
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 1772 (WI) |
|---|
Record details
| NPI number | 1265483168 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Olson — Optomotrist · (608) 222-9420 |
| NPI enumerated | May 15, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 6218 Trail Ridge Ct, Oregon, WI 53575-2534 |
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Dr. David Gary James, OD
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Dr. Max Edward Melberg, OD
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Dr. Richard Dewey Olson, OD
6218 Trail Ridge Ct, Oregon, WI 53575-2534 · (608) 835-9434
-
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