SHOPKO OPTICAL 4017
NPI 1174575500
Eyewear Supplier in Saint Cloud, MN
About Shopko Optical 4017 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHOPKO OPTICAL 4017 (NPI 1174575500) is a healthcare organization registered as an eyewear supplier in Saint Cloud, Minnesota and active in the NPI registry since May 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Other Names 1
Other Identifiers 16
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT CLOUD, MN 56301
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shopko Stores Operating Co. LLC's NPI number?
The NPI number for Shopko Stores Operating Co. LLC is 1174575500. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Shopko Optical 4017.
Where is Shopko Stores Operating Co. LLC located?
Shopko Stores Operating Co. LLC is located at 4161 2nd St S, Saint Cloud, MN 56301. The listed phone number is (320) 253-5994.
What is Shopko Stores Operating Co. LLC's specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
When was this NPI record last updated?
The NPPES record for Shopko Stores Operating Co. LLC was last updated on April 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.
