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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 # | 1063465789 |
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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 | 05/17/2006 | ||||||||||||||||||||||||||||||||||||||||||||
| Last updated | 04/15/2008 - About 18 years ago | ||||||||||||||||||||||||||||||||||||||||||||
| Identifiers |
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SHOPKO STORES OPERATING CO. LLC