Shopko Stores Operating Co. LLC

Shopko Stores Operating Co. LLC is a healthcare organization registered as Eyewear Supplier in Eugene, OR, holding Type 2 (organization) NPI 1265483572 since 2006. The authorized official on file is Michael Bettiga, Sr. Vice President Health Services.

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NPI	1265483572
Entity type	Organization (Type 2)
Legal business name	Shopko Stores Operating Co. LLC
Other name	<Unavail>
Practice address	955 BAILEY HILL RD, Eugene, OR, 97402
Phone	5416860857
Enumeration date	2006-05-12
Last updated in NPPES	2020-08-22

Authorized official

Name	Michael Bettiga
Title	Sr. Vice President Health Services
Phone	9204294297

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
332H00000X	Eyewear Supplier	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
CP2230-34	Other	—	EYEMED
OMAP	Medicaid	OR	—
014094	Other	—	VIP
42576	Other	—	DAVIS VISION
006929	Medicaid	OR	—

Copy-ready billing details

Provider: Shopko Stores Operating Co. LLC
NPI: 1265483572
Taxonomy: 332H00000X (Eyewear Supplier)
Address: 955 BAILEY HILL RD, Eugene, OR, 97402

Providers at this address

NPI	Name	Type	Specialty	Location
1720030240	Shopko Stores Operating Co. LLC	Organization	Durable Medical Equipment & Medical Supplies	Eugene, OR

Verify this record

Cross-check NPI 1265483572 against the authoritative CMS record: view Shopko Stores Operating Co. LLC on the official NPPES registry .

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 or validate an NPI number.

Frequently asked questions

Where is Shopko Stores Operating Co. LLC located?

The practice location on file with NPPES is in Eugene, OR.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.