1790737955 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
- 1018 WASHINGTON BLVD
OGDEN, UT 844044949 - Phone
- (801) 392-5100
Mailing Address
- Address
- 1018 WASHINGTON BLVD
OGDEN, UT 844044949 - Phone
- (801) 392-5100
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 |
|---|---|---|---|
| 014087 | 01 | N/A | VIP |
| 35527 | 01 | N/A | AVESIS |
| CP2230-45 | 01 | N/A | EYEMED |
| UT04880 | 01 | UT | NORIDIAN SUBMITTER ID |
| 009395001 | 01 | N/A | MEDICARE |
| 410985054-121 | 05 | UT | N/A |
| 17922 | 01 | N/A | MEDICARE |
| 42557 | 01 | N/A | DAVIS |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1790737955.
Which doctor has NPI number 1790737955?
The doctor with NPI number 1790737955 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 1018 WASHINGTON BLVD, OGDEN, UT, 844044949.
Which doctor practices at 1018 WASHINGTON BLVD, OGDEN, UT, 844044949?
SHOPKO STORES OPERATING CO. LLC practices at 1018 WASHINGTON BLVD, OGDEN, UT, 844044949.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (801) 392-5100.
Who is (801) 392-5100?
(801) 392-5100 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) 392-5100 to inquire about availability.
Is NPI 1790737955 still active?
Yes, NPI 1790737955 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in OGDEN, UT.