1891747879 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
5801 SUMMITVIEW AVE
YAKIMA, WA 989083006
Phone
(509) 965-6405

Mailing Address

Address
5801 SUMMITVIEW AVE
YAKIMA, WA 989083006
Phone
(509) 965-6405

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
014081 01 N/A VIP
2010312 05 WA N/A
213121-31 01 N/A EYEMED
G8854796 01 N/A MEDICARE
17673 01 N/A MEDICARE
2007912 05 WA N/A
WA09208 01 WA NORIDIAN SUBMITTER ID

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1891747879.
Which doctor has NPI number 1891747879?
The doctor with NPI number 1891747879 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 5801 SUMMITVIEW AVE, YAKIMA, WA, 989083006.
Which doctor practices at 5801 SUMMITVIEW AVE, YAKIMA, WA, 989083006?
SHOPKO STORES OPERATING CO. LLC practices at 5801 SUMMITVIEW AVE, YAKIMA, WA, 989083006.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (509) 965-6405.
Who is (509) 965-6405?
(509) 965-6405 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) 965-6405 to inquire about availability.
Is NPI 1891747879 still active?
Yes, NPI 1891747879 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in YAKIMA, WA.