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Shopko Stores Operating Co. LLC

Eyewear Supplier in Burlington, IA · 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

1083667406

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co. LLC
Other name <Unavail>
Practice address 313 N Roosevelt Ave, Burlington, IA, 52601
Enumeration date May 18, 2006
Last updated in NPPES Jan 30, 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
35436 Other - AVESIS
17698 Other - MEDICARE
I3516 Other - MEDICARE
CP2521-1 Other - EYEMED
014141 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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Shopko Stores Operating Co. LLC?
Shopko Stores Operating Co. LLC is registered in NPPES as a Eyewear Supplier (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-01-30.