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An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Eyewear Supplier |
332H00000X | 87 | All Other Suppliers |
| NPI Number | 1033162805 |
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| LBN Legal business name | SHOPKO STORES OPERATING CO. LLC | ||||||||||||||||
| Authorized official | MICHAEL BETTIGA - (SR. VICE PRESIDENT HEALTH SERVICES) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 05/19/2006 | ||||||||||||||||
| Last updated | 02/11/2008 - About 18 years ago | ||||||||||||||||
| Identifiers |
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SHOPKO STORES OPERATING CO. LLC