1083667786 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
320 S ACCESS RD
RICE LAKE, WI 548688572
Phone
(715) 236-7906

Mailing Address

Address
320 S ACCESS RD
RICE LAKE, WI 548688572
Phone
(715) 236-7906

Specialties & Taxonomies

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

Other Identifiers

Identifier Type State Issuer
35598 01 N/A AVESIS
410985054-4132 01 N/A NVA
42551 01 N/A DAVIS
014132 01 N/A VIP
38450400 05 WI N/A
87175 01 N/A MEDICARE
10832 01 N/A MEDICARE
CP2230-97 01 N/A EYEMED

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1083667786.
Which doctor has NPI number 1083667786?
The doctor with NPI number 1083667786 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 320 S ACCESS RD, RICE LAKE, WI, 548688572.
Which doctor practices at 320 S ACCESS RD, RICE LAKE, WI, 548688572?
SHOPKO STORES OPERATING CO. LLC practices at 320 S ACCESS RD, RICE LAKE, WI, 548688572.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (715) 236-7906.
Who is (715) 236-7906?
(715) 236-7906 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 (715) 236-7906 to inquire about availability.
Is NPI 1083667786 still active?
Yes, NPI 1083667786 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in RICE LAKE, WI.