Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum
Shopko Stores Operating Co. LLC
Eyewear Supplier in Chubbuck, ID · 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
1336191436
See something wrong? Report a correction
Registry record
Taxonomy & classification
Authorized official
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17712 | Other | - | MEDICARE |
| CP2230-10 | Other | - | EYEMED |
| 000309500 | Medicaid | ID | - |
| 42499 | Other | - | DAVIS VISION |
| 806430100 | Medicaid | ID | - |
| 014063 | Other | - | VIP |
| 1593901 | Other | - | MEDICARE |
| 805180700 | Medicaid | ID | - |
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.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Shopko Stores Operating Co. LLC?
Providers at this address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-08-03.