Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Shopko Stores Operating Co. LLC

Eyewear Supplier in Missoula, MT · 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

1174576748

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Registry record

Entity type Organization (Type 2)

Legal business name Shopko Stores Operating Co. LLC

Other name <Unavail>

Practice address 2510 S Reserve St, Missoula, MT, 59801

Phone (406) 721-4646

Enumeration date May 18, 2006

Last updated in NPPES Apr 24, 2008

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

Phone (920) 429-4297

Other identifiers

Identifier	Type	State	Issuer
0550862	Medicaid	MT	-
17878	Other	-	MEDICARE
35494	Other	-	AVESIS
213121-21	Other	-	EYEMED
014075	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.

Read the full guide → Validate an NPI →

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

Browse all →

Rebecca Jackson Optometrist · Missoula, MT NPI 1205819638 Gregory Zell Corneal and Contact Management Optometrist · Missoula, MT NPI 1679534705 Shopko Stores Operating Co LLC Community/Retail Pharmacy · Missoula, MT NPI 1215981014 Thomas Ferguson Optometrist · Missoula, MT NPI 1043259104 Gretchen Dierken Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Missoula, MT NPI 1245632744 Brett Currie Pharmacist · Missoula, MT NPI 1427450980

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-24.