1346292505 SHOPKO STORES OPERATING CO. LLC

Eyewear Supplier

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO. LLC
Enumeration Date
May 16, 2006
Last Update
July 10, 2008
Authorized Official
MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
2165 E 9400 S
SANDY, UT 840933201
Phone
(801) 942-7171

Mailing Address

Address
2165 E 9400 S
SANDY, UT 840933201
Phone
(801) 942-7171

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
014083 01 N/A VIP
CP2230-51 01 N/A EYEMED
410985054-071 05 UT N/A
UT04886 01 UT NORIDIAN SUBMITTER ID
42541 01 N/A DAVIS
17917 01 N/A MEDICARE

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1346292505.
Which doctor has NPI number 1346292505?
The doctor with NPI number 1346292505 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 2165 E 9400 S, SANDY, UT, 840933201.
Which doctor practices at 2165 E 9400 S, SANDY, UT, 840933201?
SHOPKO STORES OPERATING CO. LLC practices at 2165 E 9400 S, SANDY, UT, 840933201.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (801) 942-7171.
Who is (801) 942-7171?
(801) 942-7171 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) 942-7171 to inquire about availability.
Is NPI 1346292505 still active?
Yes, NPI 1346292505 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in SANDY, UT.