Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum
Shopko Stores Operating Co. LLC
Eyewear Supplier in Salt Lake City, UT · 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
1568415339
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Registry record
Taxonomy & classification
Authorized official
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP2230-50 | Other | - | EYEMED |
| 35534 | Other | - | AVESIS |
| 410985054-246 | Medicaid | UT | - |
| 17933 | Other | - | MEDICARE |
| 410985054-4110 | Other | - | NATIONAL VISION ADMIN |
| 014110 | Other | - | VIP |
| 42512 | Other | - | DAVIS |
| UT03960 | Other | UT | NORIDIAN SUBMITTER 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
Who is the authorized official for Shopko Stores Operating Co. LLC?
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Providers at this address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-10.