1205888344 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
3415 CALUMET AVE
MANITOWOC, WI 542205427
Phone
(920) 683-2244

Mailing Address

Address
3415 CALUMET AVE
MANITOWOC, WI 542205427
Phone
(920) 683-2244

Specialties & Taxonomies

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

Other Identifiers

Identifier Type State Issuer
42509 01 N/A DAVIS
13861 01 N/A MEDICARE
38417800 05 WI N/A
CP2230-79 01 N/A EYEMED
014003 01 N/A VIP
410985054-4003 01 N/A NVA

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1205888344.
Which doctor has NPI number 1205888344?
The doctor with NPI number 1205888344 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 3415 CALUMET AVE, MANITOWOC, WI, 542205427.
Which doctor practices at 3415 CALUMET AVE, MANITOWOC, WI, 542205427?
SHOPKO STORES OPERATING CO. LLC practices at 3415 CALUMET AVE, MANITOWOC, WI, 542205427.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (920) 683-2244.
Who is (920) 683-2244?
(920) 683-2244 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 (920) 683-2244 to inquire about availability.
Is NPI 1205888344 still active?
Yes, NPI 1205888344 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in MANITOWOC, WI.