1023069499 SHOPKO STORES OPERATING CO LLC
Eyewear Supplier
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO LLC
- Enumeration Date
- May 12, 2006
- Last Update
- March 19, 2008
- Authorized Official
- MR. MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 60 NE BEND RIVER MALL DR
BEND, OR 977017528 - Phone
- (541) 385-6079
Mailing Address
- Address
- 60 NE BEND RIVER MALL DR
BEND, OR 977017528 - Phone
- (541) 385-6079
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Eyewear Supplier | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17679 | 01 | N/A | MEDICARECOMPLETE |
| 35508 | 01 | N/A | AVESIS |
| 022688 | 05 | OR | N/A |
| 014093 | 01 | N/A | VIP |
| 112254 | 01 | N/A | OR MEDICARE-NORIDIAN |
| CP2230-33 | 01 | N/A | EYEMED |
| 42573 | 01 | N/A | DAVIS VISION |
| 005251 | 05 | OR | N/A |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1023069499.
Which doctor has NPI number 1023069499?
The doctor with NPI number 1023069499 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 60 NE BEND RIVER MALL DR, BEND, OR, 977017528.
Which doctor practices at 60 NE BEND RIVER MALL DR, BEND, OR, 977017528?
SHOPKO STORES OPERATING CO LLC practices at 60 NE BEND RIVER MALL DR, BEND, OR, 977017528.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (541) 385-6079.
Who is (541) 385-6079?
(541) 385-6079 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 (541) 385-6079 to inquire about availability.
Is NPI 1023069499 still active?
Yes, NPI 1023069499 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in BEND, OR.