| NPI | 1346292745 |
|---|---|
| Doing Business As | SHOPKO OPTICAL 029 |
| Entity Type | Organization |
| Authorized Contact | DILIP SEDANI E 920-429-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2018-06-08 |