1750333803 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
4801 WASHINGTON AVE
RACINE, WI 534064219
Phone
(262) 637-3733

Mailing Address

Address
4801 WASHINGTON AVE
RACINE, WI 534064219
Phone
(262) 637-3733

Specialties & Taxonomies

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

Other Identifiers

Identifier Type State Issuer
410985054-4027 01 N/A NVA
146151-1 01 N/A EYEMED
17645 01 N/A MEDICARE
38409300 05 WI N/A
42620 01 N/A DAVIS
014027 01 N/A VIP

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1750333803.
Which doctor has NPI number 1750333803?
The doctor with NPI number 1750333803 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 4801 WASHINGTON AVE, RACINE, WI, 534064219.
Which doctor practices at 4801 WASHINGTON AVE, RACINE, WI, 534064219?
SHOPKO STORES OPERATING CO. LLC practices at 4801 WASHINGTON AVE, RACINE, WI, 534064219.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (262) 637-3733.
Who is (262) 637-3733?
(262) 637-3733 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 (262) 637-3733 to inquire about availability.
Is NPI 1750333803 still active?
Yes, NPI 1750333803 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in RACINE, WI.