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Contact Information

SHOPKO STORES OPERATING CO. LLC
301 NORTHWEST BYP
GREAT FALLS, MT59404-4125
 Phone: 406-727-9724
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optician

156FX1800X 96[5] Optician
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SHOPKO STORES OPERATING CO. LLC

NPI # 1902859515
LBN Legal business name SHOPKO STORES OPERATING CO. LLC
Authorized official MICHAEL BETTIGA - (SR. VICE PRESIDENT HEALTH SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2006
Last updated 04/24/2008 - About 18 years ago
Identifiers
MT Medicaid 0550576
Other 35491 AVESIS
Other 213121-20 EYEMED
Other 17877 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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