1811949803 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 4, 2008
Authorized Official
MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
555 W SOUTH ST
FREEPORT, IL 610326792
Phone
(815) 232-3057

Mailing Address

Address
555 W SOUTH ST
FREEPORT, IL 610326792
Phone
(815) 232-3057

Specialties & Taxonomies

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

Other Identifiers

Identifier Type State Issuer
35455 01 N/A AVESIS
42542 01 N/A DAVIS
5232016 01 IL BCBS IL
CP2230-15 01 N/A EYEMED
014125 01 N/A VIP
17684 01 N/A MEDICARE

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1811949803.
Which doctor has NPI number 1811949803?
The doctor with NPI number 1811949803 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 555 W SOUTH ST, FREEPORT, IL, 610326792.
Which doctor practices at 555 W SOUTH ST, FREEPORT, IL, 610326792?
SHOPKO STORES OPERATING CO. LLC practices at 555 W SOUTH ST, FREEPORT, IL, 610326792.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (815) 232-3057.
Who is (815) 232-3057?
(815) 232-3057 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 (815) 232-3057 to inquire about availability.
Is NPI 1811949803 still active?
Yes, NPI 1811949803 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in FREEPORT, IL.