1003869678 SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO. LLC
- Enumeration Date
- May 18, 2006
- Last Update
- August 3, 2009
- Authorized Official
- MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 2120 THAIN GRADE
LEWISTON, ID 835014105 - Phone
- (208) 746-1050
Mailing Address
- Address
- 2120 THAIN GRADE
LEWISTON, ID 835014105 - Phone
- (208) 746-1050
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Optician Optician | 156FX1800X | Technician/Technologist | N/A | N/A | No |
| Eyewear Supplier | 332H00000X | Eyewear Supplier | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1379404 | 01 | N/A | MEDICARE |
| 000310200 | 05 | ID | N/A |
| 014072 | 01 | N/A | VIP |
| 17838 | 01 | N/A | MEDICARE |
| 213121-6 | 01 | N/A | EYEMED |
| 806430106 | 05 | ID | N/A |
| 35447 | 01 | N/A | AVESIS |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1003869678.
Which doctor has NPI number 1003869678?
The doctor with NPI number 1003869678 is SHOPKO STORES OPERATING CO. LLC.
What is SHOPKO STORES OPERATING CO. LLC's practice address?
SHOPKO STORES OPERATING CO. LLC's practice address is 2120 THAIN GRADE, LEWISTON, ID, 835014105.
Which doctor practices at 2120 THAIN GRADE, LEWISTON, ID, 835014105?
SHOPKO STORES OPERATING CO. LLC practices at 2120 THAIN GRADE, LEWISTON, ID, 835014105.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (208) 746-1050.
Who is (208) 746-1050?
(208) 746-1050 is the phone number for SHOPKO STORES OPERATING CO. LLC.
What is SHOPKO STORES OPERATING CO. LLC's specialty?
SHOPKO STORES OPERATING CO. LLC's specialty is Eyewear Supplier.
What type of doctor is SHOPKO STORES OPERATING CO. LLC?
SHOPKO STORES OPERATING CO. LLC is a Eyewear Supplier.
Is SHOPKO STORES OPERATING CO. LLC a Eyewear Supplier?
Yes, SHOPKO STORES OPERATING CO. LLC is a Eyewear Supplier.
Is SHOPKO STORES OPERATING CO. LLC still practicing?
Yes, SHOPKO STORES OPERATING CO. LLC is currently practicing.
Is SHOPKO STORES OPERATING CO. LLC accepting new patients?
SHOPKO STORES OPERATING CO. LLC may be accepting new patients. Please call their office at (208) 746-1050 to inquire about availability.
Is NPI 1003869678 still active?
Yes, NPI 1003869678 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in LEWISTON, ID.