1063465789 SHOPKO STORES OPERATING CO. LLC

Eyewear Supplier

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO. LLC
Enumeration Date
May 17, 2006
Last Update
April 15, 2008
Authorized Official
MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
501 HIGHWAY 10 SE
SAINT CLOUD, MN 563041250
Phone
(320) 253-4695

Mailing Address

Address
501 HIGHWAY 10 SE
SAINT CLOUD, MN 563041250
Phone
(320) 253-4695

Specialties & Taxonomies

Specialty Code Classification License State Primary
Eyewear Supplier
332H00000X Eyewear Supplier N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
213121-17 01 N/A EYEMED
21527 01 N/A MN HEALTH PARTNERS
410985054-4061 01 N/A NATIONAL VISION ADMIN.
42497 01 N/A DAVIS
20019120524 01 N/A MN MA PRIMEWEST HEALTH
014061 01 N/A VIP
17832 01 N/A MEDICARE
55306HA 01 N/A MN MA FIRST PLAN OF MN
2100301 01 N/A MN MA MEDICA CHOICE CARE
26887SH 01 N/A MN MA FIRST PLAN OF MN
35480 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 1063465789.
Which doctor has NPI number 1063465789?
The doctor with NPI number 1063465789 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 501 HIGHWAY 10 SE, SAINT CLOUD, MN, 563041250.
Which doctor practices at 501 HIGHWAY 10 SE, SAINT CLOUD, MN, 563041250?
SHOPKO STORES OPERATING CO. LLC practices at 501 HIGHWAY 10 SE, SAINT CLOUD, MN, 563041250.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (320) 253-4695.
Who is (320) 253-4695?
(320) 253-4695 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 (320) 253-4695 to inquire about availability.
Is NPI 1063465789 still active?
Yes, NPI 1063465789 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in SAINT CLOUD, MN.