1295788065 SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO. LLC
- Enumeration Date
- May 19, 2006
- Last Update
- July 10, 2008
- Authorized Official
- MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 4060 RIVERDALE RD
RIVERDALE, UT 844051518 - Phone
- (801) 392-4300
Mailing Address
- Address
- 4060 RIVERDALE RD
RIVERDALE, UT 844051518 - Phone
- (801) 392-4300
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Optometrist | 152W00000X | Optometrist | N/A | N/A | No |
| 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 |
|---|---|---|---|
| 410985054-408 | 05 | UT | N/A |
| 014109 | 01 | N/A | VIP |
| UT04871 | 01 | UT | NORIDIAN SUBMITTER ID |
| 42510 | 01 | N/A | DAVIS |
| 17932 | 01 | N/A | MEDICARE |
| 000090125 | 01 | N/A | MEDICARE |
| CP2230-48 | 01 | N/A | EYEMED |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1295788065.
Which doctor has NPI number 1295788065?
The doctor with NPI number 1295788065 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 4060 RIVERDALE RD, RIVERDALE, UT, 844051518.
Which doctor practices at 4060 RIVERDALE RD, RIVERDALE, UT, 844051518?
SHOPKO STORES OPERATING CO. LLC practices at 4060 RIVERDALE RD, RIVERDALE, UT, 844051518.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (801) 392-4300.
Who is (801) 392-4300?
(801) 392-4300 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 (801) 392-4300 to inquire about availability.
Is NPI 1295788065 still active?
Yes, NPI 1295788065 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in RIVERDALE, UT.