1750334421 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
615 S MONROE AVE
MASON CITY, IA 504015061
Phone
(641) 424-8271

Mailing Address

Address
615 S MONROE AVE
MASON CITY, IA 504015061
Phone
(641) 424-8271

Specialties & Taxonomies

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

Other Identifiers

Identifier Type State Issuer
014052 01 N/A VIP
23361 01 N/A MEDICARE
42599 01 N/A DAVIS
35439 01 N/A AVESIS
17697 01 N/A MEDICARE
CP2230-8 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 1750334421.
Which doctor has NPI number 1750334421?
The doctor with NPI number 1750334421 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 615 S MONROE AVE, MASON CITY, IA, 504015061.
Which doctor practices at 615 S MONROE AVE, MASON CITY, IA, 504015061?
SHOPKO STORES OPERATING CO. LLC practices at 615 S MONROE AVE, MASON CITY, IA, 504015061.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (641) 424-8271.
Who is (641) 424-8271?
(641) 424-8271 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 (641) 424-8271 to inquire about availability.
Is NPI 1750334421 still active?
Yes, NPI 1750334421 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in MASON CITY, IA.