1164475752 SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO. LLC
- Enumeration Date
- May 18, 2006
- Last Update
- August 3, 2009
- Authorized Official
- MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 2100 CALDWELL BLVD
NAMPA, ID 836511510 - Phone
- (208) 466-6895
Mailing Address
- Address
- 2100 CALDWELL BLVD
NAMPA, ID 836511510 - Phone
- (208) 466-6895
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| 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 |
|---|---|---|---|
| 014064 | 01 | N/A | VIP |
| 17713 | 01 | N/A | MEDICARE |
| 806430101 | 05 | ID | N/A |
| 1379400 | 01 | N/A | MEDICARE |
| 42500 | 01 | N/A | DAVIS VISION |
| 000309900 | 05 | ID | N/A |
| 213121-7 | 01 | N/A | EYEMED |
| 410985054-4064 | 01 | N/A | UWG |
| 35449 | 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 1164475752.
Which doctor has NPI number 1164475752?
The doctor with NPI number 1164475752 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 2100 CALDWELL BLVD, NAMPA, ID, 836511510.
Which doctor practices at 2100 CALDWELL BLVD, NAMPA, ID, 836511510?
SHOPKO STORES OPERATING CO. LLC practices at 2100 CALDWELL BLVD, NAMPA, ID, 836511510.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (208) 466-6895.
Who is (208) 466-6895?
(208) 466-6895 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 (208) 466-6895 to inquire about availability.
Is NPI 1164475752 still active?
Yes, NPI 1164475752 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in NAMPA, ID.