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Shopko Stores Operating Co. LLC

Eyewear Supplier in Norfolk, NE · 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

1073565503

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co. LLC
Other name <Unavail>
Practice address 2005 Krenzien Dr, Norfolk, NE, 68701
Enumeration date May 16, 2006
Last updated in NPPES Feb 11, 2008

Taxonomy & classification

332H00000X Eyewear Supplier Suppliers Primary

Authorized official

Name Michael Bettiga
Title Sr. Vice President Health Services

Other identifiers

Identifier Type State Issuer
17888 Other MEDICARE
41098505421 Medicaid NE
094813 Other MEDICARE
35864 Other DAVIS
CP2230-28 Other EYEMED
007126 Other BLOCK
014048 Other VIP

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-02-11. Verify at npiregistry.cms.hhs.gov.
Where is Shopko Stores Operating Co. LLC located?
The practice location on file with NPPES is in Norfolk, NE.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-11.