NPI 1700839545

Shopko Stores Operating Co. LLC

Organisation Eyewear Supplier Brigham City, UT

Practice location

Address: 747 S Main St, Brigham City, UT 84302-3359
Phone: (435) 723-1800

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

Other Optometrist providers in Utah →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Utah →

Registry record

NPI: 1700839545
Entity type: Organization
NPI issued: 19 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.