1114970985 SHOPKO STORES OPERATING CO. LLC

Eyewear Supplier

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO. LLC
Enumeration Date
May 19, 2006
Last Update
July 10, 2008
Authorized Official
MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
955 N MAIN ST
SPANISH FORK, UT 846601150
Phone
(801) 798-3557

Mailing Address

Address
955 N MAIN ST
SPANISH FORK, UT 846601150
Phone
(801) 798-3557

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
42506 01 N/A DAVIS
CP2230-52 01 N/A EYEMED
410985054-300 05 UT N/A
17931 01 N/A MEDICARE
014108 01 N/A VIP
35536 01 N/A AVESIS
UT04874 01 UT NORIDIAN SUBMITTER ID

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1114970985.
Which doctor has NPI number 1114970985?
The doctor with NPI number 1114970985 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 955 N MAIN ST, SPANISH FORK, UT, 846601150.
Which doctor practices at 955 N MAIN ST, SPANISH FORK, UT, 846601150?
SHOPKO STORES OPERATING CO. LLC practices at 955 N MAIN ST, SPANISH FORK, UT, 846601150.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (801) 798-3557.
Who is (801) 798-3557?
(801) 798-3557 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 (801) 798-3557 to inquire about availability.
Is NPI 1114970985 still active?
Yes, NPI 1114970985 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in SPANISH FORK, UT.