NPI 1023069499

Shopko Stores Operating Co LLC

Organisation Eyewear Supplier Bend, OR

Practice location

Address: 60 NE Bend River Mall Dr, Bend, OR 97701-7528
Phone: (541) 385-6079

Authorised official

Name: Michael J Bettiga
Title: Sr. Vice President Health Services
Phone: (920) 429-4297

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Oregon →

Registry record

NPI: 1023069499
Entity type: Organization
NPI issued: 12 May 2006
Record last updated: 19 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.