1699727719 SHOPKO STORES OPERATING CO. LLC

Eyewear Supplier

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO. LLC
Enumeration Date
May 17, 2006
Last Update
February 11, 2008
Authorized Official
MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
2101 W BROADWAY
MONONA, WI 537131638
Phone
(608) 222-9420

Mailing Address

Address
2101 W BROADWAY
MONONA, WI 537131638
Phone
(608) 222-9420

Specialties & Taxonomies

Specialty Code Classification License State Primary
Eyewear Supplier
332H00000X Eyewear Supplier N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
35597 01 N/A AVESIS
38416300 05 WI N/A
014032 01 N/A VIP
17668 01 N/A MEDICARE
410985054-4032 01 N/A NVA
42613 01 N/A DAVIS
CP2230-96 01 N/A EYEMED

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1699727719.
Which doctor has NPI number 1699727719?
The doctor with NPI number 1699727719 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 2101 W BROADWAY, MONONA, WI, 537131638.
Which doctor practices at 2101 W BROADWAY, MONONA, WI, 537131638?
SHOPKO STORES OPERATING CO. LLC practices at 2101 W BROADWAY, MONONA, WI, 537131638.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (608) 222-9420.
Who is (608) 222-9420?
(608) 222-9420 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 (608) 222-9420 to inquire about availability.
Is NPI 1699727719 still active?
Yes, NPI 1699727719 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in MONONA, WI.