1073565123 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
13414 E SPRAGUE AVE
SPOKANE VALLEY, WA 992160848
Phone
(509) 924-2015

Mailing Address

Address
13414 E SPRAGUE AVE
SPOKANE VALLEY, WA 992160848
Phone
(509) 924-2015

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
35546 01 N/A AVESIS
014070 01 N/A VIP
WA09206 01 WA NORIDIAN SUBMITTER ID
213121-29 01 N/A EYEMED
2013142 05 WA N/A
G8854794 01 N/A MEDICARE
10829 01 N/A MEDICARE
2005056 05 WA N/A

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1073565123.
Which doctor has NPI number 1073565123?
The doctor with NPI number 1073565123 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 13414 E SPRAGUE AVE, SPOKANE VALLEY, WA, 992160848.
Which doctor practices at 13414 E SPRAGUE AVE, SPOKANE VALLEY, WA, 992160848?
SHOPKO STORES OPERATING CO. LLC practices at 13414 E SPRAGUE AVE, SPOKANE VALLEY, WA, 992160848.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (509) 924-2015.
Who is (509) 924-2015?
(509) 924-2015 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) 924-2015 to inquire about availability.
Is NPI 1073565123 still active?
Yes, NPI 1073565123 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in SPOKANE VALLEY, WA.