Shopko Optical 036

LBN: Shopko Stores Operating Co. Llc
Shopko Optical 036 is an health care organization with primary practice located at 3708 Hwy 63 N , Rochester MN 55906-3902. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Shopko Stores Operating Co. Llc can be contacted via phone (507) 281-0657, or through Bettiga, Michael J via phone (920) 429-4297.

Contact Information

Primary practice address
3708 Hwy 63 N Rochester MN 55906-3902
Phone: (507) 281-0657
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bettiga, Michael J RPH
Phone: (920) 429-4297

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1366495954
LBN Legal business name Shopko Stores Operating Co. Llc
DBA Doing business as Shopko Optical 036
Authorized official Bettiga, Michael J RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Apr 15th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366495954 NPPES
Other 20019120529 MN MA PRIMEWEST HEALTH
Other 64031SH MN MA PRIMEWEST HEALTH
Other 213121-16 MN MA PRIMEWEST HEALTH
Other 42619 MN MA PRIMEWEST HEALTH
Other 35472 MN MA PRIMEWEST HEALTH
Other 411740865-4036 MN MA PRIMEWEST HEALTH
Other 17826 MN MA PRIMEWEST HEALTH
Other 36056 MN MA PRIMEWEST HEALTH

Popular Providers