SHOPKO STORES OPERATING CO. LLC NPI 1891747879

NPI Information

SHOPKO STORES OPERATING CO. LLC is an eyewear supplier in Yakima, WA. 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 1891747879. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shopko Optical 081.

The provider's business location address is:

5801 SUMMITVIEW AVE
YAKIMA, WA
ZIP 98908-006
Phone: (509) 965-6405

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 6/5/2009.

Taxonomy Codes

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Other Identifiers

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