Shopko Stores Operating Co. LLC
Shopko Stores Operating Co. LLC is a healthcare organization registered as Eyewear Supplier in Rochester, MN, holding Type 2 (organization) NPI 1700838802 since 2006. The authorized official on file is Michael Bettiga, Sr. Vice President Health Services.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700838802 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shopko Stores Operating Co. LLC |
| Other name | <Unavail> |
| Practice address | 2820 HIGHWAY 63 S, Rochester, MN, 55904 |
| Phone | 5072810687 |
| Enumeration date | 2006-05-17 |
| Last updated in NPPES | 2008-04-15 |
Authorized official
| Name | Michael Bettiga |
|---|---|
| Title | Sr. Vice President Health Services |
| Phone | 9204294297 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17825 | Other | — | MEDICARE |
| 20019120523 | Other | — | MN MA PRIMEWEST HEALTH |
| 42617 | Other | — | DAVIS |
| 213121-15 | Other | — | EYEMED |
| 36055 | Other | — | MN HEALTH PARTNERS |
| 39687SH | Other | — | MN MA FIRST PLAN OF MN |
| 39701SH | Other | — | MN MA FIRST PLAN OF MN |
| 014035 | Other | — | VIP |
| 35471 | Other | — | AVESIS |
Copy-ready billing details
Provider: Shopko Stores Operating Co. LLC NPI: 1700838802 Taxonomy: 332H00000X (Eyewear Supplier) Address: 2820 HIGHWAY 63 S, Rochester, MN, 55904
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1336192194 | Shopko Stores Operating Co LLC | Organization | Community/Retail Pharmacy | Rochester, MN |
| 1619394129 | Richard Clark | Individual | Pharmacist | Rochester, MN |
| 1326465345 | Marie-Elisabeth Paulik | Individual | Pharmacist | Rochester, MN |
Verify this record
Cross-check NPI 1700838802 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
What is a Type 2 NPI?
What type of organization is Shopko Stores Operating Co. LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-15.