1639121601 SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO. LLC
- Enumeration Date
- May 17, 2006
- Last Update
- April 15, 2008
- Authorized Official
- MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 1850 E MADISON AVE
MANKATO, MN 560015448 - Phone
- (507) 387-6517
Mailing Address
- Address
- 1850 E MADISON AVE
MANKATO, MN 560015448 - Phone
- (507) 387-6517
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Eyewear Supplier | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014021 | 01 | N/A | VIP |
| 2100546 | 01 | N/A | MN MA MEDICA CHOICE CARE |
| 41619SH | 01 | N/A | MN MA FIRST PLAN OF MN |
| 35694 | 01 | N/A | AVESIS |
| 410985054-4021 | 01 | N/A | NATIONAL VISION ADMIN. |
| 213121-14 | 01 | N/A | EYEMED |
| 17822 | 01 | N/A | MEDICARE |
| 20019120525 | 01 | N/A | MN MA PRIMEWEST HEALTH |
| 42607 | 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 1639121601.
Which doctor has NPI number 1639121601?
The doctor with NPI number 1639121601 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 1850 E MADISON AVE, MANKATO, MN, 560015448.
Which doctor practices at 1850 E MADISON AVE, MANKATO, MN, 560015448?
SHOPKO STORES OPERATING CO. LLC practices at 1850 E MADISON AVE, MANKATO, MN, 560015448.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (507) 387-6517.
Who is (507) 387-6517?
(507) 387-6517 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 (507) 387-6517 to inquire about availability.
Is NPI 1639121601 still active?
Yes, NPI 1639121601 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in MANKATO, MN.