1790736023 SHOPKO STORES OPERATING CO LLC

Eyewear Supplier

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 12, 2006
Last Update
November 20, 2008
Authorized Official
MR. MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
1230 LANCASTER DR SE
SALEM, OR 973175800
Phone
(503) 371-6575

Mailing Address

Address
1230 LANCASTER DR SE
SALEM, OR 973175800
Phone
(503) 371-6575

Specialties & Taxonomies

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

Other Identifiers

Identifier Type State Issuer
039904 05 OR N/A
039912 05 OR N/A
CP2230-36 01 N/A EYEMED
410985054-4111 01 N/A NVA
35512 01 N/A AVESIS
014111 01 N/A VIP
42514 01 N/A DAVIS VISION

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1790736023.
Which doctor has NPI number 1790736023?
The doctor with NPI number 1790736023 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 1230 LANCASTER DR SE, SALEM, OR, 973175800.
Which doctor practices at 1230 LANCASTER DR SE, SALEM, OR, 973175800?
SHOPKO STORES OPERATING CO LLC practices at 1230 LANCASTER DR SE, SALEM, OR, 973175800.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (503) 371-6575.
Who is (503) 371-6575?
(503) 371-6575 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 (503) 371-6575 to inquire about availability.
Is NPI 1790736023 still active?
Yes, NPI 1790736023 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in SALEM, OR.