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Shopko Stores Operating Co. LLC

Eyewear Supplier in Eugene, OR · 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

1265483572

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Registry record

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
Enumeration date May 12, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

332H00000X Eyewear Supplier Suppliers Primary

Authorized official

Name Michael Bettiga
Title Sr. Vice President Health Services

Other identifiers

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

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 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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.