1619929015 SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO. LLC
- Enumeration Date
- May 16, 2006
- Last Update
- September 28, 2007
- Authorized Official
- MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 105 N MAIN ST
EAST PEORIA, IL 616112543 - Phone
- (309) 694-6470
Mailing Address
- Address
- 105 N MAIN ST
EAST PEORIA, IL 616112543 - Phone
- (309) 694-6470
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Eyewear Supplier | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17690 | 01 | N/A | MEDICARE |
| 42574 | 01 | N/A | DAVIS |
| CP2230-14 | 01 | N/A | EYEMED |
| 014173 | 01 | N/A | VIP |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1619929015.
Which doctor has NPI number 1619929015?
The doctor with NPI number 1619929015 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 105 N MAIN ST, EAST PEORIA, IL, 616112543.
Which doctor practices at 105 N MAIN ST, EAST PEORIA, IL, 616112543?
SHOPKO STORES OPERATING CO. LLC practices at 105 N MAIN ST, EAST PEORIA, IL, 616112543.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (309) 694-6470.
Who is (309) 694-6470?
(309) 694-6470 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 (309) 694-6470 to inquire about availability.
Is NPI 1619929015 still active?
Yes, NPI 1619929015 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in EAST PEORIA, IL.