1497708085 SHOPKO STORES OPERATING CO. LLC

Eyewear Supplier

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO. LLC
Enumeration Date
May 18, 2006
Last Update
August 3, 2009
Authorized Official
MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
217 W IRONWOOD DR
COEUR D ALENE, ID 838142651
Phone
(208) 765-8078

Mailing Address

Address
217 W IRONWOOD DR
COEUR D ALENE, ID 838142651
Phone
(208) 765-8078

Specialties & Taxonomies

Specialty Code Classification License State Primary
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
014069 01 N/A VIP
213121-4 01 N/A EYEMED
35444 01 N/A AVESIS
806430105 05 ID N/A
42507 01 N/A DAVIS VISION
1379403 01 N/A MEDICARE
17837 01 N/A MEDICARE
000309800 05 ID N/A

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1497708085.
Which doctor has NPI number 1497708085?
The doctor with NPI number 1497708085 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 217 W IRONWOOD DR, COEUR D ALENE, ID, 838142651.
Which doctor practices at 217 W IRONWOOD DR, COEUR D ALENE, ID, 838142651?
SHOPKO STORES OPERATING CO. LLC practices at 217 W IRONWOOD DR, COEUR D ALENE, ID, 838142651.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (208) 765-8078.
Who is (208) 765-8078?
(208) 765-8078 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 (208) 765-8078 to inquire about availability.
Is NPI 1497708085 still active?
Yes, NPI 1497708085 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in COEUR D ALENE, ID.