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Shopko Stores Operating Co. LLC — NPI 1396797544, Lincoln, NE | NPI Central

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NPI 1396797544

OrganizationActive

Shopko Stores Operating Co. LLC

NPI 1396797544 · Eyewear Supplier · Lincoln, NE

Provider details

NPI number: 1396797544
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

4200 S 27th St

Lincoln, NE 68502-5858

Phone: (402) 421-2555

Approximate (ZIP-level) locationGet directions

More NE providers

Mailing address

4200 S 27th St

Lincoln, NE 68502-5858

Other names (DBA / former)

Doing business as: Shopko Optical 039

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.