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Shopko Stores Operating Co. LLC

Eyewear Supplier in Spokane, WA · enumerated 2006 · authorized official Michael Bettiga, Sr. Vice President Health Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023060050

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co. LLC
Other name <Unavail>
Practice address 4515 S Regal St, Spokane, WA, 99223
Enumeration date May 17, 2006
Last updated in NPPES Jun 5, 2009

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Secondary
156FX1800X Optician Eye and Vision Services Providers Secondary
332H00000X Eyewear Supplier Suppliers Primary

Authorized official

Name Michael Bettiga
Title Sr. Vice President Health Services

Other identifiers

Identifier Type State Issuer
G8855122 Other - MEDICARE
014129 Other - VIP
CP2230-59 Other - EYEMED
WA09203 Other WA NORIDIAN SUBMITTER ID
2017622 Medicaid WA -
42549 Other - DAVIS VISION
10831 Other - MEDICARE
2017218 Medicaid WA -
35548 Other - AVESIS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Shopko Stores Operating Co. LLC located?
The practice location on file with NPPES is in Spokane, WA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-06-05. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-05.