1902859531 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
1600 W ROSE ST
WALLA WALLA, WA 993621771
Phone
(509) 525-9301

Mailing Address

Address
1600 W ROSE ST
WALLA WALLA, WA 993621771
Phone
(509) 525-9301

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
17674 01 N/A MEDICARE
G8854797 01 N/A MEDICARE
2009942 05 WA N/A
35551 01 N/A AVESIS
014089 01 N/A VIP
2130268 05 WA N/A
213121-1 01 N/A EYEMED
WA09207 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 1902859531.
Which doctor has NPI number 1902859531?
The doctor with NPI number 1902859531 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 1600 W ROSE ST, WALLA WALLA, WA, 993621771.
Which doctor practices at 1600 W ROSE ST, WALLA WALLA, WA, 993621771?
SHOPKO STORES OPERATING CO. LLC practices at 1600 W ROSE ST, WALLA WALLA, WA, 993621771.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (509) 525-9301.
Who is (509) 525-9301?
(509) 525-9301 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) 525-9301 to inquire about availability.
Is NPI 1902859531 still active?
Yes, NPI 1902859531 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in WALLA WALLA, WA.