1801848924 SHOPKO STORES OPERATING CO. LLC

Eyewear Supplier

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO. LLC
Enumeration Date
May 17, 2006
Last Update
June 5, 2009
Authorized Official
MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
1450 S GRAND AVE
PULLMAN, WA 991634900
Phone
(509) 332-0820

Mailing Address

Address
1450 S GRAND AVE
PULLMAN, WA 991634900
Phone
(509) 332-0820

Specialties & Taxonomies

Specialty Code Classification License State Primary
Optician
Optician
156FX1800X Technician/Technologist N/A N/A No
Optometrist
152W00000X Optometrist N/A N/A No
Eyewear Supplier
332H00000X Eyewear Supplier N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
WA09204 01 WA NORIDIAN SUBMITTER ID
G8855124 01 N/A MEDICARE
CP2230-58 01 N/A EYEMED
2019388 05 WA N/A
35544 01 N/A AVESIS
17678 01 N/A MEDICARE
2019115 05 WA N/A

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1801848924.
Which doctor has NPI number 1801848924?
The doctor with NPI number 1801848924 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 1450 S GRAND AVE, PULLMAN, WA, 991634900.
Which doctor practices at 1450 S GRAND AVE, PULLMAN, WA, 991634900?
SHOPKO STORES OPERATING CO. LLC practices at 1450 S GRAND AVE, PULLMAN, WA, 991634900.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (509) 332-0820.
Who is (509) 332-0820?
(509) 332-0820 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 (509) 332-0820 to inquire about availability.
Is NPI 1801848924 still active?
Yes, NPI 1801848924 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in PULLMAN, WA.