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Shopko Stores Operating Co. LLC

Eyewear Supplier in Marshall, 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

1801848890

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co. LLC
Other name <Unavail>
Practice address 1200 Susan Dr, Marshall, MN, 56258
Enumeration date May 17, 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
014025 Other - VIP
03092036204 Other - MN MA PRIMEWEST HEALTH
17824 Other - MEDICARE
42615 Other - DAVIS
CP2230-21 Other - EYEMED
35695 Other - AVESIS
4C071SH Other - MN BLUE PLUS CARE
3C214SH 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

Where is Shopko Stores Operating Co. LLC located?
The practice location on file with NPPES is in Marshall, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-04-15. Verify at npiregistry.cms.hhs.gov.

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