SHOPKO STORES OPERATING CO. LLC NPI 1295788818

NPI Information

SHOPKO STORES OPERATING CO. LLC is an eyewear supplier in Duluth, MN. 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 1295788818. The provider is registered as an organization entity type.
The provider Is Doing Business As Shopko Optical 114.

The provider's business location address is:

801 W CENTRAL ENTRANCE
DULUTH, MN
ZIP 55811-468
Phone: (218) 727-7163

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 4/15/2008.

Taxonomy Codes

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