Shopko Stores Operating Co. LLC

Shopko Stores Operating Co. LLC is a healthcare organization registered as Eyewear Supplier in Murray, UT, holding Type 2 (organization) NPI 1437101698 since 2006. The authorized official on file is Michael Bettiga, Sr. Vice President Health Services.

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NPI 1437101698
Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co. LLC
Other name <Unavail>
Practice address 5959 S STATE ST, Murray, UT, 84107
Phone 8012611113
Enumeration date 2006-05-16
Last updated in NPPES 2008-07-10

Authorized official

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

Taxonomy & classification

Taxonomy code Specialty Primary License State
152W00000X Optometrist Secondary
156FX1800X Optician Secondary
332H00000X Eyewear Supplier Primary

Other identifiers

Identifier Type State Issuer
014082 Other VIP
17916 Other MEIDCARE
410985054-084 Medicaid UT
UT04873 Other UT NORIDIAN SUBMITTER ID
CP2230-44 Other EYEMED
42539 Other DAVIS
Copy-ready billing details
Provider: Shopko Stores Operating Co. LLC
NPI: 1437101698
Taxonomy: 332H00000X (Eyewear Supplier)
Address: 5959 S STATE ST, Murray, UT, 84107

Providers at this address

NPI Name Type Specialty Location
1477504793 Shopko Stores Operating Co LLC Organization Community/Retail Pharmacy Murray, UT

Verify this record

Cross-check NPI 1437101698 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 Murray, UT.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-10. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2008-07-10.