NPI 1528010550
Shopko Stores Operating Co. LLC
Practice location
- Address
- 1370 US Highway 2 E, Kalispell, MT 59901-3221
- Phone
- (406) 257-1278
Authorised official
- Name
- Michael J Bettiga
- Title
- Sr. Vice President Health Services
- Phone
- (920) 429-4297
Registered specialties (3)
Eyewear Supplier
Primary
Optometrist
Registry record
- NPI
- 1528010550
- Entity type
- Organization
- NPI issued
- 17 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.