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Shopko Stores Operating Co. LLC

Eyewear Supplier in Fairmont, MN · 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

1457304024

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co. LLC
Other name <Unavail>
Practice address 1001 Highway 15 S, Fairmont, MN, 56031
Enumeration date May 18, 2006
Last updated in NPPES Apr 15, 2008

Taxonomy & classification

332H00000X Eyewear Supplier Suppliers Primary

Authorized official

Name Michael Bettiga
Title Sr. Vice President Health Services

Other identifiers

Identifier Type State Issuer
35469 Other - AVESIS
CP2230-19 Other - EYEMED
03092036205 Other - MN MA PRIMEWEST HEALTH
36058 Other - MN HEALTH PARTNERS
42493 Other - DAVIS
014059 Other - VIP
17830 Other - MEDICARE
3C159SH Other - MN MA FIRST PLAN OF MN
3C391SH Other - MN MA FIRST PLAN OF MN

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

What is the NPI number for Shopko Stores Operating Co. LLC?
The NPI for Shopko Stores Operating Co. LLC is 1457304024, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Shopko Stores Operating Co. LLC?
NPPES lists Michael Bettiga (Sr. Vice President Health Services) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-15.