1336191436 SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO. LLC
- Enumeration Date
- May 17, 2006
- Last Update
- August 3, 2009
- Authorized Official
- MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 4215 YELLOWSTONE AVE
CHUBBUCK, ID 832022419 - Phone
- (208) 237-6822
Mailing Address
- Address
- 4215 YELLOWSTONE AVE
CHUBBUCK, ID 832022419 - Phone
- (208) 237-6822
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| 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 |
|---|---|---|---|
| 17712 | 01 | N/A | MEDICARE |
| CP2230-10 | 01 | N/A | EYEMED |
| 000309500 | 05 | ID | N/A |
| 42499 | 01 | N/A | DAVIS VISION |
| 806430100 | 05 | ID | N/A |
| 014063 | 01 | N/A | VIP |
| 1593901 | 01 | N/A | MEDICARE |
| 805180700 | 05 | ID | N/A |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1336191436.
Which doctor has NPI number 1336191436?
The doctor with NPI number 1336191436 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 4215 YELLOWSTONE AVE, CHUBBUCK, ID, 832022419.
Which doctor practices at 4215 YELLOWSTONE AVE, CHUBBUCK, ID, 832022419?
SHOPKO STORES OPERATING CO. LLC practices at 4215 YELLOWSTONE AVE, CHUBBUCK, ID, 832022419.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (208) 237-6822.
Who is (208) 237-6822?
(208) 237-6822 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 (208) 237-6822 to inquire about availability.
Is NPI 1336191436 still active?
Yes, NPI 1336191436 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in CHUBBUCK, ID.