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

1861444010

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Registry record

Entity type Organization (Type 2)

Legal business name Shopko Stores Operating Co. LLC

Other name <Unavail>

Practice address 5800 S Redwood Rd, Salt Lake City, UT, 84123

Phone (801) 964-1300

Enumeration date May 16, 2006

Last updated in NPPES Jul 10, 2008

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

Phone (920) 429-4297

Other identifiers

Identifier	Type	State	Issuer
014085	Other	-	VIP
CP2230-49	Other	-	EYEMED
UT04882	Other	UT	NORIDIAN SUBMITTER ID
17919	Other	-	MEDICARE
410985054-098	Medicaid	UT	-
42545	Other	-	DAVIS

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 → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Shopko Stores Operating Co. LLC?

Shopko Stores Operating Co. LLC is registered in NPPES as a Eyewear Supplier (its primary provider taxonomy).

Providers at this address

Browse all →

Steven Dewey Optometrist · Taylorsville, UT NPI 1063462810 Shopko Stores Operating Co LLC Community/Retail Pharmacy · Salt Lake City, UT NPI 1619928793 Utah Cvs Pharmacy LLC Pharmacy · Taylorsville, UT NPI 1447272125 Micheal Leonard Pharmacist · Taylorsville, UT NPI 1861065518 Abigail Christoffersen Pharmacist · Taylorsville, UT NPI 1649925397

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-10.