NPI 1346292505

Shopko Stores Operating Co. LLC

Organisation Eyewear Supplier Sandy, UT

Practice location

Address: 2165 E 9400 S, Sandy, UT 84093-3201
Phone: (801) 942-7171

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 Utah →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

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Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

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Registry record

NPI: 1346292505
Entity type: Organization
NPI issued: 16 May 2006
Record last updated: 10 Jul 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.