1023060050 SHOPKO STORES OPERATING CO. LLC

Eyewear Supplier

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO. LLC
Enumeration Date
May 17, 2006
Last Update
June 5, 2009
Authorized Official
MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
4515 S REGAL ST
SPOKANE, WA 992237938
Phone
(509) 448-9686

Mailing Address

Address
4515 S REGAL ST
SPOKANE, WA 992237938
Phone
(509) 448-9686

Specialties & Taxonomies

Specialty Code Classification License State Primary
Optometrist
152W00000X Optometrist N/A N/A No
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
G8855122 01 N/A MEDICARE
014129 01 N/A VIP
CP2230-59 01 N/A EYEMED
WA09203 01 WA NORIDIAN SUBMITTER ID
2017622 05 WA N/A
42549 01 N/A DAVIS VISION
10831 01 N/A MEDICARE
2017218 05 WA N/A
35548 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 1023060050.
Which doctor has NPI number 1023060050?
The doctor with NPI number 1023060050 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 4515 S REGAL ST, SPOKANE, WA, 992237938.
Which doctor practices at 4515 S REGAL ST, SPOKANE, WA, 992237938?
SHOPKO STORES OPERATING CO. LLC practices at 4515 S REGAL ST, SPOKANE, WA, 992237938.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (509) 448-9686.
Who is (509) 448-9686?
(509) 448-9686 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 (509) 448-9686 to inquire about availability.
Is NPI 1023060050 still active?
Yes, NPI 1023060050 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in SPOKANE, WA.