Shopko Stores Operating Company
Shopko Stores Operating Company is an Optometrist in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
2430 E Mason StGreen Bay, WI 54302-3759
Phone: (920) 468-4642
Fax: (920) 468-3490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 1643-035 (WI) |
|---|
Record details
| NPI number | 1962452052 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Schmonsky — Optometrist · (920) 468-4642 |
| NPI enumerated | May 11, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2430 E Mason St, Green Bay, WI 54302-3759 |
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