NPI 1073565503

Shopko Stores Operating Co. LLC

Organisation Eyewear Supplier Norfolk, NE

Practice location

Address: 2005 Krenzien Dr, Norfolk, NE 68701-4601
Phone: (402) 379-1434

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 Nebraska →

Registry record

NPI: 1073565503
Entity type: Organization
NPI issued: 16 May 2006
Record last updated: 11 Feb 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.