1609828136 SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO. LLC
- Enumeration Date
- May 16, 2006
- Last Update
- July 10, 2008
- Authorized Official
- MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 1341 N MAIN ST
LOGAN, UT 843412221 - Phone
- (435) 753-0700
Mailing Address
- Address
- 1341 N MAIN ST
LOGAN, UT 843412221 - Phone
- (435) 753-0700
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Optometrist | 152W00000X | Optometrist | N/A | N/A | No |
| 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 |
|---|---|---|---|
| 35721 | 01 | N/A | AVESIS |
| 014091 | 01 | N/A | VIP |
| 410985054-148 | 05 | UT | N/A |
| CP2230-43 | 01 | N/A | EYEMED |
| 17924 | 01 | N/A | MEDICARE |
| UT04878 | 01 | UT | NORIDIAN SUBMITTER ID |
| 42567 | 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 1609828136.
Which doctor has NPI number 1609828136?
The doctor with NPI number 1609828136 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 1341 N MAIN ST, LOGAN, UT, 843412221.
Which doctor practices at 1341 N MAIN ST, LOGAN, UT, 843412221?
SHOPKO STORES OPERATING CO. LLC practices at 1341 N MAIN ST, LOGAN, UT, 843412221.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (435) 753-0700.
Who is (435) 753-0700?
(435) 753-0700 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 (435) 753-0700 to inquire about availability.
Is NPI 1609828136 still active?
Yes, NPI 1609828136 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in LOGAN, UT.