1396797411 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
- 822 PARK AVE
BEAVER DAM, WI 539162266 - Phone
- (920) 887-3791
Mailing Address
- Address
- 822 PARK AVE
BEAVER DAM, WI 539162266 - Phone
- (920) 887-3791
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Eyewear Supplier | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410985054-4014 | 01 | N/A | NVA |
| 014014 | 01 | N/A | VIP |
| 17641 | 01 | N/A | MEDICARE |
| 42590 | 01 | N/A | DAVIS |
| CP2230-61 | 01 | N/A | EYEMED |
| 38422300 | 05 | WI | N/A |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1396797411.
Which doctor has NPI number 1396797411?
The doctor with NPI number 1396797411 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 822 PARK AVE, BEAVER DAM, WI, 539162266.
Which doctor practices at 822 PARK AVE, BEAVER DAM, WI, 539162266?
SHOPKO STORES OPERATING CO. LLC practices at 822 PARK AVE, BEAVER DAM, WI, 539162266.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (920) 887-3791.
Who is (920) 887-3791?
(920) 887-3791 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 (920) 887-3791 to inquire about availability.
Is NPI 1396797411 still active?
Yes, NPI 1396797411 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in BEAVER DAM, WI.