SHOPKO STORES OPERATING CO. LLC NPI 1518910140

NPI Information

SHOPKO STORES OPERATING CO. LLC is an eyewear supplier in Dubuque, IA. 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 1518910140. The provider is registered as an organization entity type.
The provider Is Doing Business As Shopko Optical 164.

The provider's business location address is:

255 JOHN F KENNEDY RD
DUBUQUE, IA
ZIP 52002-313
Phone: (563) 583-5895

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 2/11/2008.

Taxonomy Codes

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Other Identifiers

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