1336191311 SHOPKO STORES OPERATING CO. LLC

Eyewear Supplier

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO. LLC
Enumeration Date
May 17, 2006
Last Update
June 5, 2009
Authorized Official
MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
867 N COLUMBIA CENTER BLVD
KENNEWICK, WA 993367771
Phone
(509) 736-0515

Mailing Address

Address
867 N COLUMBIA CENTER BLVD
KENNEWICK, WA 993367771
Phone
(509) 736-0515

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
2130250 05 WA N/A
2017721 05 WA N/A
CP2230-56 01 N/A EYEMED
G8855123 01 N/A MEDICARE
WA07466 01 WA NORIDIAN SUBMITTER ID
014092 01 N/A VIP
17675 01 N/A MEDICARE
35541 01 N/A AVESIS

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1336191311.
Which doctor has NPI number 1336191311?
The doctor with NPI number 1336191311 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 867 N COLUMBIA CENTER BLVD, KENNEWICK, WA, 993367771.
Which doctor practices at 867 N COLUMBIA CENTER BLVD, KENNEWICK, WA, 993367771?
SHOPKO STORES OPERATING CO. LLC practices at 867 N COLUMBIA CENTER BLVD, KENNEWICK, WA, 993367771.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (509) 736-0515.
Who is (509) 736-0515?
(509) 736-0515 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 (509) 736-0515 to inquire about availability.
Is NPI 1336191311 still active?
Yes, NPI 1336191311 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in KENNEWICK, WA.