NPI 1336191311

Shopko Stores Operating Co. LLC

Organisation Eyewear Supplier Kennewick, WA

Practice location

Address: 867 N Columbia Center Blvd, Kennewick, WA 99336-7771
Phone: (509) 736-0515

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 Washington →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Washington →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Washington →

Registry record

NPI: 1336191311
Entity type: Organization
NPI issued: 17 May 2006
Record last updated: 5 Jun 2009

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.