1457303455 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
701 S CHURCH ST
WATERTOWN, WI 530946213
Phone
(920) 261-9225

Mailing Address

Address
701 S CHURCH ST
WATERTOWN, WI 530946213
Phone
(920) 261-9225

Specialties & Taxonomies

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

Other Identifiers

Identifier Type State Issuer
38413000 05 WI N/A
17643 01 N/A MEDICARE
410985054-4019 01 N/A NVA
CP2230-92 01 N/A EYEMED
014019 01 N/A VIP
42606 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 1457303455.
Which doctor has NPI number 1457303455?
The doctor with NPI number 1457303455 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 701 S CHURCH ST, WATERTOWN, WI, 530946213.
Which doctor practices at 701 S CHURCH ST, WATERTOWN, WI, 530946213?
SHOPKO STORES OPERATING CO. LLC practices at 701 S CHURCH ST, WATERTOWN, WI, 530946213.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (920) 261-9225.
Who is (920) 261-9225?
(920) 261-9225 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) 261-9225 to inquire about availability.
Is NPI 1457303455 still active?
Yes, NPI 1457303455 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in WATERTOWN, WI.