NPI 1083667406
Shopko Stores Operating Co. LLC
Practice location
- Address
- 313 N Roosevelt Ave, Burlington, IA 52601-1757
- Phone
- (319) 758-9145
Authorised official
- Name
- Michael J Bettiga
- Title
- Sr. Vice President Health Services
- Phone
- (920) 429-4297
Registered specialties
Eyewear Supplier
Primary
Registry record
- NPI
- 1083667406
- Entity type
- Organization
- NPI issued
- 18 May 2006
- Record last updated
- 30 Jan 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.