1053363010 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
- 1425 JANESVILLE AVE
FORT ATKINSON, WI 535382705 - Phone
- (920) 563-2171
Mailing Address
- Address
- 1425 JANESVILLE AVE
FORT ATKINSON, WI 535382705 - Phone
- (920) 563-2171
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Eyewear Supplier | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17655 | 01 | N/A | MEDICARE |
| 38450700 | 05 | WI | N/A |
| 410985054-4051 | 01 | N/A | NVA |
| CP2230-67 | 01 | N/A | EYEMED |
| 014051 | 01 | N/A | VIP |
| 42598 | 01 | N/A | DAVIS |
| 35561 | 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 1053363010.
Which doctor has NPI number 1053363010?
The doctor with NPI number 1053363010 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 1425 JANESVILLE AVE, FORT ATKINSON, WI, 535382705.
Which doctor practices at 1425 JANESVILLE AVE, FORT ATKINSON, WI, 535382705?
SHOPKO STORES OPERATING CO. LLC practices at 1425 JANESVILLE AVE, FORT ATKINSON, WI, 535382705.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (920) 563-2171.
Who is (920) 563-2171?
(920) 563-2171 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) 563-2171 to inquire about availability.
Is NPI 1053363010 still active?
Yes, NPI 1053363010 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in FORT ATKINSON, WI.