NPI 1750334421

Shopko Stores Operating Co. LLC

Organisation Eyewear Supplier Mason City, IA

Practice location

Address: 615 S Monroe Ave, Mason City, IA 50401-5061
Phone: (641) 424-8271

Authorised official

Name: Michael J 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: 1750334421
Entity type: Organization
NPI issued: 17 May 2006
Record last updated: 11 Feb 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.