1497707400 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
2500 E US HIGHWAY 14
JANESVILLE, WI 535450309
Phone
(608) 754-7411

Mailing Address

Address
2500 E US HIGHWAY 14
JANESVILLE, WI 535450309
Phone
(608) 754-7411

Specialties & Taxonomies

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

Other Identifiers

Identifier Type State Issuer
CP2230-72 01 N/A EYEMED
410985054-4030 01 N/A NVA
17648 01 N/A MEDICARE
014030 01 N/A VIP
38413300 05 WI N/A
42610 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 1497707400.
Which doctor has NPI number 1497707400?
The doctor with NPI number 1497707400 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 2500 E US HIGHWAY 14, JANESVILLE, WI, 535450309.
Which doctor practices at 2500 E US HIGHWAY 14, JANESVILLE, WI, 535450309?
SHOPKO STORES OPERATING CO. LLC practices at 2500 E US HIGHWAY 14, JANESVILLE, WI, 535450309.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (608) 754-7411.
Who is (608) 754-7411?
(608) 754-7411 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 (608) 754-7411 to inquire about availability.
Is NPI 1497707400 still active?
Yes, NPI 1497707400 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in JANESVILLE, WI.