SHOPKO STORES OPERATING CO. LLC NPI 1023060050

NPI Information

SHOPKO STORES OPERATING CO. LLC is an eyewear supplier in Spokane, 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 1023060050. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shopko Optical 129.

The provider's business location address is:

4515 S REGAL ST
SPOKANE, WA
ZIP 99223-938
Phone: (509) 448-9686

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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