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Shopko Stores Operating Co. LLC

Eyewear Supplier in Pullman, WA · 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

1801848924

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co. LLC
Other name <Unavail>
Practice address 1450 S Grand Ave, Pullman, WA, 99163
Enumeration date May 17, 2006
Last updated in NPPES Jun 5, 2009

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Secondary
156FX1800X Optician Eye and Vision Services Providers Secondary
332H00000X Eyewear Supplier Suppliers Primary

Authorized official

Name Michael Bettiga
Title Sr. Vice President Health Services

Other identifiers

Identifier Type State Issuer
WA09204 Other WA NORIDIAN SUBMITTER ID
G8855124 Other - MEDICARE
CP2230-58 Other - EYEMED
2019388 Medicaid WA -
35544 Other - AVESIS
17678 Other - MEDICARE
2019115 Medicaid WA -

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 1801848924, 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 2009-06-05.