SHOPKO OPTICAL 058
NPI 1871545996
Eyewear Supplier in Worthington, MN
About Shopko Optical 058 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHOPKO OPTICAL 058 (NPI 1871545996) is a healthcare organization registered as an eyewear supplier in Worthington, 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
Other Names 1
Other Identifiers 12
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.
WORTHINGTON, MN 56187
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 1871545996. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 058.
Where is Shopko Stores Operating Co. LLC located?
Shopko Stores Operating Co. LLC is located at 1755 N Humiston Ave, Worthington, MN 56187. The listed phone number is (507) 372-7811.
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.