1982656096 SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO. LLC
- Enumeration Date
- May 17, 2006
- Last Update
- August 3, 2009
- Authorized Official
- MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 8105 FAIRVIEW AVE
BOISE, ID 837048486 - Phone
- (208) 323-9303
Mailing Address
- Address
- 8105 FAIRVIEW AVE
BOISE, ID 837048486 - Phone
- (208) 323-9303
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| 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 |
|---|---|---|---|
| 410985054-4065 | 01 | N/A | UWG |
| 35441 | 01 | N/A | AVESIS |
| 42502-000 | 01 | N/A | DAVIS VISION |
| 1379401 | 01 | N/A | MEDICARE |
| 17834 | 01 | N/A | MEDICARE |
| 806430102 | 05 | ID | N/A |
| 014065 | 01 | N/A | VIP |
| 213121-2 | 01 | N/A | EYEMED |
| 000310000 | 05 | ID | N/A |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1982656096.
Which doctor has NPI number 1982656096?
The doctor with NPI number 1982656096 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 8105 FAIRVIEW AVE, BOISE, ID, 837048486.
Which doctor practices at 8105 FAIRVIEW AVE, BOISE, ID, 837048486?
SHOPKO STORES OPERATING CO. LLC practices at 8105 FAIRVIEW AVE, BOISE, ID, 837048486.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (208) 323-9303.
Who is (208) 323-9303?
(208) 323-9303 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 (208) 323-9303 to inquire about availability.
Is NPI 1982656096 still active?
Yes, NPI 1982656096 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in BOISE, ID.