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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 | |
Optician |
156FX1800X | 96[5] | Optician | |
Optometrist |
152W00000X | 41 | Optometry |
| NPI # | 1174576748 |
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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 | 05/18/2006 | ||||||||||||||||||||
| Last updated | 04/24/2008 - About 18 years ago | ||||||||||||||||||||
| Identifiers |
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SHOPKO STORES OPERATING CO. LLC