1255384822 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
2761 PRAIRIE AVE
BELOIT, WI 535112246
Phone
(608) 365-2512

Mailing Address

Address
2761 PRAIRIE AVE
BELOIT, WI 535112246
Phone
(608) 365-2512

Specialties & Taxonomies

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

Other Identifiers

Identifier Type State Issuer
410985054-4026 01 N/A NVA
014026 01 N/A VIP
CP2230-62 01 N/A EYEMED
38404900 05 WI N/A
13859 01 N/A MEDICARE
42618 01 N/A DAVIS

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1255384822.
Which doctor has NPI number 1255384822?
The doctor with NPI number 1255384822 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 2761 PRAIRIE AVE, BELOIT, WI, 535112246.
Which doctor practices at 2761 PRAIRIE AVE, BELOIT, WI, 535112246?
SHOPKO STORES OPERATING CO. LLC practices at 2761 PRAIRIE AVE, BELOIT, WI, 535112246.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (608) 365-2512.
Who is (608) 365-2512?
(608) 365-2512 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 (608) 365-2512 to inquire about availability.
Is NPI 1255384822 still active?
Yes, NPI 1255384822 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in BELOIT, WI.