| NPI | 1952642589 |
|---|---|
| Doing Business As | SHOPKO OPTICAL 789 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BETTIGA Executive Vice President And COO 9204-294-9297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |