NPI 1174576748

Shopko Stores Operating Co. LLC

Organisation Eyewear Supplier Missoula, MT

Practice location

Address: 2510 S Reserve St, Missoula, MT 59801-7546
Phone: (406) 721-4646

Authorised official

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

Registered specialties (3)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Montana →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Montana →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Montana →

Registry record

NPI: 1174576748
Entity type: Organization
NPI issued: 18 May 2006
Record last updated: 24 Apr 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.