1407808496 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
230 N WISCONSIN ST
DE PERE, WI 541152735
Phone
(920) 336-3390

Mailing Address

Address
230 N WISCONSIN ST
DE PERE, WI 541152735
Phone
(920) 336-3390

Specialties & Taxonomies

Specialty Code Classification License State Primary
Eyewear Supplier
332H00000X Eyewear Supplier N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
014005 01 N/A VIP
17637 01 N/A MEDICARE
CP2230-70 01 N/A EYEMED
38428900 05 WI N/A
410985054-4005 01 N/A NVA
42523 01 N/A DAVIS

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1407808496.
Which doctor has NPI number 1407808496?
The doctor with NPI number 1407808496 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 230 N WISCONSIN ST, DE PERE, WI, 541152735.
Which doctor practices at 230 N WISCONSIN ST, DE PERE, WI, 541152735?
SHOPKO STORES OPERATING CO. LLC practices at 230 N WISCONSIN ST, DE PERE, WI, 541152735.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (920) 336-3390.
Who is (920) 336-3390?
(920) 336-3390 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) 336-3390 to inquire about availability.
Is NPI 1407808496 still active?
Yes, NPI 1407808496 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in DE PERE, WI.