1013960723 SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO. LLC
- Enumeration Date
- May 17, 2006
- Last Update
- February 11, 2008
- Authorized Official
- MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 616 W JOHNSON ST
FOND DU LAC, WI 549353134 - Phone
- (920) 921-8290
Mailing Address
- Address
- 616 W JOHNSON ST
FOND DU LAC, WI 549353134 - Phone
- (920) 921-8290
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Eyewear Supplier | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014050 | 01 | N/A | VIP |
| 410985054-4050 | 01 | N/A | NVA |
| 17654 | 01 | N/A | MEDICARE |
| 35560 | 01 | N/A | AVESIS |
| CP2230-3 | 01 | N/A | EYEMED |
| 38426900 | 05 | WI | N/A |
| 42597 | 01 | N/A | DAVIS |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1013960723.
Which doctor has NPI number 1013960723?
The doctor with NPI number 1013960723 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 616 W JOHNSON ST, FOND DU LAC, WI, 549353134.
Which doctor practices at 616 W JOHNSON ST, FOND DU LAC, WI, 549353134?
SHOPKO STORES OPERATING CO. LLC practices at 616 W JOHNSON ST, FOND DU LAC, WI, 549353134.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (920) 921-8290.
Who is (920) 921-8290?
(920) 921-8290 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 (920) 921-8290 to inquire about availability.
Is NPI 1013960723 still active?
Yes, NPI 1013960723 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in FOND DU LAC, WI.