Shopko Stores Operating Co LLC
Eyewear Supplier (Equipment, not the service) in Salem, OR. Organization (NPI-2).
NPI number1790736023
StatusActive
Last updated in NPPESNov 20, 2008
Details
- NPI
- 1790736023
- Entity type
- Organization (NPI-2)
- Legal business name
- Shopko Stores Operating Co LLC
- Organization subpart
- No
- Enumeration date
- May 12, 2006
- Last updated
- Nov 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- Shopko Optical 111 (Doing Business As)
Practice location
1230 Lancaster Dr SeSalem, OR 97317-5800
Phone 503-371-6575
Mailing address
1230 Lancaster Dr SeSalem, OR 97317-5800
Phone 503-371-6575
Authorized official
Michael J Bettiga
Sr. Vice President Health Services
9204294297
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Eyewear Supplier providers in Salem, OR
- Costco Wholesale CorporationNPI 1316698095
- Darek Huggett Od & Associates PCNPI 1144412701
- Designer Eyewear Solutions LLCNPI 1295550705
- Eye Care Physicians & Surgeons, INC.NPI 1659407625
- Family Focus Eye Care LLCNPI 1184999377
- Luxottica Of America INC.NPI 1285789396
- Luxottica Retail North America INCNPI 1871640318
- Visionworks INCNPI 1497844435
- Wal-Mart Stores, INCNPI 1598846354
- Wal-Mart Stores, INCNPI 1609961804
All 13 Eyewear Supplier providers in Salem · All 8,143 providers in Salem
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.