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Shopko Stores Operating Co. LLC

Eyewear Supplier in Quincy, IL · 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

1649222662

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co. LLC
Other name <Unavail>
Practice address 3200 Broadway St, Quincy, IL, 62301
Phone (217) 224-0993
Enumeration date May 17, 2006
Last updated in NPPES Jun 4, 2008

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
014139 Other — VIP
CP2521-5 Other — EYEMED
42554 Other — DAVIS
35459 Other — AVESIS
5232016 Other IL BCBS IL
17686 Other — MEDICARE

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 Quincy, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-04. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-04.