SHOPKO OPTICAL 111
NPI 1790736023
Eyewear Supplier in Salem, OR
About Shopko Optical 111 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHOPKO OPTICAL 111 (NPI 1790736023) is a healthcare organization registered as an eyewear supplier in Salem, Oregon 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
Other Names 1
Other Identifiers 11
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.
SALEM, OR 97317
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 1790736023. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Shopko Optical 111.
Where is Shopko Stores Operating Co LLC located?
Shopko Stores Operating Co LLC is located at 1230 Lancaster Dr SE, Salem, OR 97317. The listed phone number is (503) 371-6575.
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 November 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
