NPI 1265483572

Shopko Stores Operating Co. LLC

Organisation Eyewear Supplier Eugene, OR

Practice location

Address: 955 Bailey Hill Rd, Eugene, OR 97402-5486
Phone: (541) 686-0857

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 Oregon →

Registry record

NPI: 1265483572
Entity type: Organization
NPI issued: 12 May 2006
Record last updated: 22 Aug 2020

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.