Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Shopko Stores Operating Co LLC

Eyewear Supplier in Council Bluffs, IA · enumerated 2008 · authorized official Michael Bettiga, Sr. Vice President Health Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366608440

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Registry record

Entity type Organization (Type 2)

Legal business name Shopko Stores Operating Co LLC

Other name <Unavail>

Practice address 3271 Marketplace Dr, Council Bluffs, IA, 51501

Phone (712) 366-0706

Fax (712) 366-9020

Enumeration date Jul 29, 2008

Last updated in NPPES Aug 24, 2009

Taxonomy & classification

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
1366608440	Other	-	WELLMARK BCBS IA
51451	Other	-	AVESIS
A00793	Other	-	EYEMED
62213	Other	-	SPECTERA
135093	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

Where is Shopko Stores Operating Co LLC located?

The practice location on file with NPPES is in Council Bluffs, IA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-08-24. Verify at npiregistry.cms.hhs.gov.

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Shopko Stores Operating Co LLC Community/Retail Pharmacy · Council Bluffs, IA NPI 1700042884

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-08-24.