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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 # | 1689835647 |
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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 | 06/23/2008 | ||||
| Last updated | 06/18/2009 - About 17 years ago | ||||
| Identifiers |
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SHOPKO STORES OPERATING CO LLC