| NPI | 1558314328 |
|---|---|
| Doing Business As | SHOPKO OPTICAL 080 |
| Entity Type | Organization |
| Authorized Contact | DILIP SEDANI VP 920-429-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-09-02 |