1629021480 SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO. LLC
- Enumeration Date
- May 19, 2006
- Last Update
- January 30, 2008
- Authorized Official
- MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 4810 AVENUE O
FORT MADISON, IA 526279677 - Phone
- (319) 372-8633
Mailing Address
- Address
- 4810 AVENUE O
FORT MADISON, IA 526279677 - Phone
- (319) 372-8633
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Eyewear Supplier | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I8499 | 01 | N/A | MEDICARE |
| 014142 | 01 | N/A | VIP |
| 0252080 | 05 | IA | N/A |
| CP2521-2 | 01 | N/A | EYEMED |
| 17709 | 01 | N/A | MEDICARE |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1629021480.
Which doctor has NPI number 1629021480?
The doctor with NPI number 1629021480 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 4810 AVENUE O, FORT MADISON, IA, 526279677.
Which doctor practices at 4810 AVENUE O, FORT MADISON, IA, 526279677?
SHOPKO STORES OPERATING CO. LLC practices at 4810 AVENUE O, FORT MADISON, IA, 526279677.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (319) 372-8633.
Who is (319) 372-8633?
(319) 372-8633 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 (319) 372-8633 to inquire about availability.
Is NPI 1629021480 still active?
Yes, NPI 1629021480 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in FORT MADISON, IA.