1174575500 SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO. LLC
- Enumeration Date
- May 16, 2006
- Last Update
- April 15, 2008
- Authorized Official
- MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 4161 2ND ST S
SAINT CLOUD, MN 563013761 - Phone
- (320) 253-5994
Mailing Address
- Address
- 4161 2ND ST S
SAINT CLOUD, MN 563013761 - Phone
- (320) 253-5994
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Eyewear Supplier | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42601 | 01 | N/A | DAVIS |
| 014017 | 01 | N/A | VIP |
| 77166SH | 01 | N/A | MN MA FIRST PLAN OF MN |
| 17821 | 01 | N/A | MEDICARE |
| 2123169 | 01 | N/A | MN MA MEDICA CHOICE CARE |
| 23667 | 01 | N/A | MN HEALTH PARTNERS |
| CP2230-22 | 01 | N/A | EYEMED |
| 35585 | 01 | N/A | AVESIS |
| 77168MA | 01 | N/A | MN BLUE PLUS CARE |
| 03092036202 | 01 | N/A | MN MA PRIMEWEST HEALTH |
| 35479 | 01 | N/A | AVESIS |
| 410985054-4017 | 01 | N/A | NATIONAL VISION ADMIN. |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1174575500.
Which doctor has NPI number 1174575500?
The doctor with NPI number 1174575500 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 4161 2ND ST S, SAINT CLOUD, MN, 563013761.
Which doctor practices at 4161 2ND ST S, SAINT CLOUD, MN, 563013761?
SHOPKO STORES OPERATING CO. LLC practices at 4161 2ND ST S, SAINT CLOUD, MN, 563013761.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (320) 253-5994.
Who is (320) 253-5994?
(320) 253-5994 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) 253-5994 to inquire about availability.
Is NPI 1174575500 still active?
Yes, NPI 1174575500 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in SAINT CLOUD, MN.