SHOPKO STORES OPERATING CO. LLC NPI 1174576748

NPI Information

SHOPKO STORES OPERATING CO. LLC is an eyewear supplier in Missoula, MT. 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 1174576748. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shopko Optical 075.

The provider's business location address is:

2510 S RESERVE ST
MISSOULA, MT
ZIP 59801-546
Phone: (406) 721-4646

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 5/18/2006 and was last updated on 4/24/2008.

Taxonomy Codes

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Other Identifiers

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