1578516936 SHOPKO STORES OPERATING CO. LLC

Eyewear Supplier

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO. LLC
Enumeration Date
May 18, 2006
Last Update
February 11, 2008
Authorized Official
MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
1800 PLOVER RD
PLOVER, WI 544673978
Phone
(715) 342-9634

Mailing Address

Address
1800 PLOVER RD
PLOVER, WI 544673978
Phone
(715) 342-9634

Specialties & Taxonomies

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

Other Identifiers

Identifier Type State Issuer
17666 01 N/A MEDICARE
38716300 05 WI N/A
35583 01 N/A AVESIS
47565 01 N/A MEDICARE
014171 01 N/A VIP
CP2230-86 01 N/A EYEMED
42570 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 1578516936.
Which doctor has NPI number 1578516936?
The doctor with NPI number 1578516936 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 1800 PLOVER RD, PLOVER, WI, 544673978.
Which doctor practices at 1800 PLOVER RD, PLOVER, WI, 544673978?
SHOPKO STORES OPERATING CO. LLC practices at 1800 PLOVER RD, PLOVER, WI, 544673978.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (715) 342-9634.
Who is (715) 342-9634?
(715) 342-9634 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 (715) 342-9634 to inquire about availability.
Is NPI 1578516936 still active?
Yes, NPI 1578516936 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in PLOVER, WI.