NPI 1124070644

Shopko Stores Operating Co. LLC

Organisation Eyewear Supplier Omaha, NE

Practice location

Address: 14445 W Center Rd, Omaha, NE 68144-5401
Phone: (402) 333-7462

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: 1124070644
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.