1649222662 SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO. LLC
- Enumeration Date
- May 17, 2006
- Last Update
- June 4, 2008
- Authorized Official
- MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 3200 BROADWAY ST
QUINCY, IL 623013712 - Phone
- (217) 224-0993
Mailing Address
- Address
- 3200 BROADWAY ST
QUINCY, IL 623013712 - Phone
- (217) 224-0993
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Eyewear Supplier | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014139 | 01 | N/A | VIP |
| CP2521-5 | 01 | N/A | EYEMED |
| 42554 | 01 | N/A | DAVIS |
| 35459 | 01 | N/A | AVESIS |
| 5232016 | 01 | IL | BCBS IL |
| 17686 | 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 1649222662.
Which doctor has NPI number 1649222662?
The doctor with NPI number 1649222662 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 3200 BROADWAY ST, QUINCY, IL, 623013712.
Which doctor practices at 3200 BROADWAY ST, QUINCY, IL, 623013712?
SHOPKO STORES OPERATING CO. LLC practices at 3200 BROADWAY ST, QUINCY, IL, 623013712.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (217) 224-0993.
Who is (217) 224-0993?
(217) 224-0993 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 (217) 224-0993 to inquire about availability.
Is NPI 1649222662 still active?
Yes, NPI 1649222662 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in QUINCY, IL.