1174576854 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
3025 HAMILTON BLVD
SIOUX CITY, IA 511042407
Phone
(712) 255-5869

Mailing Address

Address
3025 HAMILTON BLVD
SIOUX CITY, IA 511042407
Phone
(712) 255-5869

Specialties & Taxonomies

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

Other Identifiers

Identifier Type State Issuer
35440 01 N/A AVESIS
014040 01 N/A VIP
CP2230-9 01 N/A EYEMED
17696 01 N/A MEDICARE
28489 01 N/A MEDICARE

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1174576854.
Which doctor has NPI number 1174576854?
The doctor with NPI number 1174576854 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 3025 HAMILTON BLVD, SIOUX CITY, IA, 511042407.
Which doctor practices at 3025 HAMILTON BLVD, SIOUX CITY, IA, 511042407?
SHOPKO STORES OPERATING CO. LLC practices at 3025 HAMILTON BLVD, SIOUX CITY, IA, 511042407.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (712) 255-5869.
Who is (712) 255-5869?
(712) 255-5869 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 (712) 255-5869 to inquire about availability.
Is NPI 1174576854 still active?
Yes, NPI 1174576854 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in SIOUX CITY, IA.