NPI 1164474698

Shopko Stores Operating Co. LLC

Organisation Eyewear Supplier Grand Island, NE

Practice location

Address: 2208 N Webb Rd, Grand Island, NE 68803-1739
Phone: (308) 382-7661

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: 1164474698
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.