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NPI 1073565503

OrganizationActive

Shopko Stores Operating Co. LLC

NPI 1073565503 · Eyewear Supplier · Norfolk, NE

Provider details

NPI number: 1073565503
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Organization subpart: No
Authorized official: Michael Bettiga, Sr. Vice President Health Services(920) 429-4297

Specialties & taxonomies

Eyewear SupplierPrimary332H00000X
Suppliers

Practice location

2005 Krenzien Dr

Norfolk, NE 68701-4601

Phone: (402) 379-1434

Approximate (ZIP-level) locationGet directions

More NE providers

Mailing address

2005 Krenzien Dr

Norfolk, NE 68701-4601

Other names (DBA / former)

Doing business as: Shopko Optical 048

Registry dates

Enumerated: 2006-05-16
Last updated: 2008-02-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Shopko Stores Operating Co. LLC — NPI 1073565503, Norfolk, NE | NPI Central