SHOPKO STORES OPERATING CO. LLC NPI 1063465789

NPI Information

SHOPKO STORES OPERATING CO. LLC is an eyewear supplier in Saint Cloud, MN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SHOPKO STORES OPERATING CO. LLC NPI is 1063465789. The provider is registered as an organization entity type.
The provider Is Doing Business As Shopko Optical 061.

The provider's business location address is:

501 HIGHWAY 10 SE
SAINT CLOUD, MN
ZIP 56304-250
Phone: (320) 253-4695

The provider's authorized official is Michael J Bettiga .
The authorized official title is Sr. Vice President Health Services and has the following contact phone number (920) 429-4297.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 4/15/2008.

Taxonomy Codes

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Other Identifiers

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