NPI 1366608440

Shopko Stores Operating Co LLC

Organisation Eyewear Supplier Council Bluffs, IA

Practice location

Address: 3271 Marketplace Dr, Council Bluffs, IA 51501-7908
Phone: (712) 366-0706
Fax: (712) 366-9020

Authorised official

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

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Iowa →

Registry record

NPI: 1366608440
Entity type: Organization
NPI issued: 29 Jul 2008
Record last updated: 24 Aug 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.