Shopko Stores Operating Co. LLC

Eyewear Supplier · Eugene, OR

Organization Active NPI

NPI number 1265483572

Practice location

955 Bailey Hill Rd
Eugene, OR 97402-5486
Phone
(541) 686-0857

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NPI record

NPI
1265483572
Entity type
Organization (Type 2)
Enumeration date
May 12, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Eyewear Supplier Primary 332H00000X — —

Authorized official

Name
Mr. Michael J Bettiga, RPH
Title
Sr. Vice President Health Services
Phone
(920) 429-4297

Other names

  • ShopKo Optical 094

About Shopko Stores Operating Co. LLC

Shopko Stores Operating Co. LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Eyewear Supplier (code 332H00000X). The practice location is 955 Bailey Hill Rd, Eugene, OR 97402-5486. The NPI number 1265483572 was assigned on May 12, 2006 and the record was last updated on August 22, 2020.

The authorized official for this organization is Mr. Michael J Bettiga, RPH, Sr. Vice President Health Services.

Frequently asked questions

What is the NPI number of Shopko Stores Operating Co. LLC?

The NPI number is 1265483572.

What is the phone number of Shopko Stores Operating Co. LLC?

The phone number listed for the practice location is (541) 686-0857.

Where is Shopko Stores Operating Co. LLC located?

955 Bailey Hill Rd, Eugene, OR 97402-5486.

What is the taxonomy code for Shopko Stores Operating Co. LLC?

The primary taxonomy code is 332H00000X – Eyewear Supplier.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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