SHOPKO STORES OPERATING CO. LLC NPI 1326090424

NPI Information

SHOPKO STORES OPERATING CO. LLC is an eyewear supplier in Springfield, IL. 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 1326090424. The provider is registered as an organization entity type.
The provider Is Doing Business As Shopko Optical 153.

The provider's business location address is:

3001 S DIRKSEN PKWY
SPRINGFIELD, IL
ZIP 62703-502
Phone: (217) 585-8845

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 6/4/2008.

Taxonomy Codes

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