1679525109 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
- 1553 W 9000 S
WEST JORDAN, UT 840889219 - Phone
- (801) 561-7300
Mailing Address
- Address
- 1553 W 9000 S
WEST JORDAN, UT 840889219 - Phone
- (801) 561-7300
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 |
|---|---|---|---|
| UT04885 | 01 | UT | NORIDIAN SUBMITTER ID |
| 42543 | 01 | N/A | DAVIS |
| 410985054-103 | 05 | UT | N/A |
| 014084 | 01 | N/A | VIP |
| CP2230-54 | 01 | N/A | EYEMED |
| 17918 | 01 | N/A | MEDICARE |
| 35539 | 01 | N/A | AVESIS |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1679525109.
Which doctor has NPI number 1679525109?
The doctor with NPI number 1679525109 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 1553 W 9000 S, WEST JORDAN, UT, 840889219.
Which doctor practices at 1553 W 9000 S, WEST JORDAN, UT, 840889219?
SHOPKO STORES OPERATING CO. LLC practices at 1553 W 9000 S, WEST JORDAN, UT, 840889219.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (801) 561-7300.
Who is (801) 561-7300?
(801) 561-7300 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 (801) 561-7300 to inquire about availability.
Is NPI 1679525109 still active?
Yes, NPI 1679525109 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in WEST JORDAN, UT.