1861445405 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
2585 LINEVILLE RD
GREEN BAY, WI 543137122
Phone
(920) 662-9450

Mailing Address

Address
2585 LINEVILLE RD
GREEN BAY, WI 543137122
Phone
(920) 662-9450

Specialties & Taxonomies

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

Other Identifiers

Identifier Type State Issuer
014502 01 N/A VIP
50115 01 N/A DAVIS
25866 01 N/A MEDICARE
410985054-4502 01 N/A NVA
CP2230-71 01 N/A EYEMED
38723100 05 WI N/A

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1861445405.
Which doctor has NPI number 1861445405?
The doctor with NPI number 1861445405 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 2585 LINEVILLE RD, GREEN BAY, WI, 543137122.
Which doctor practices at 2585 LINEVILLE RD, GREEN BAY, WI, 543137122?
SHOPKO STORES OPERATING CO. LLC practices at 2585 LINEVILLE RD, GREEN BAY, WI, 543137122.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (920) 662-9450.
Who is (920) 662-9450?
(920) 662-9450 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 (920) 662-9450 to inquire about availability.
Is NPI 1861445405 still active?
Yes, NPI 1861445405 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in GREEN BAY, WI.