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NPI 1124070644

OrganizationActive

Shopko Stores Operating Co. LLC

NPI 1124070644 · Eyewear Supplier · Omaha, NE

Provider details

NPI number: 1124070644
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Authorized official: Michael Bettiga, Sr. Vice President Health Services

Practice location

14445 W Center Rd

Omaha, NE 68144-5401

Phone: (402) 333-7462

More NE providers

Mailing address

14445 W Center Rd

Omaha, NE 68144-5401

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 1124070644, Omaha, NE | NPI Central