Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a healthcare organization registered as Eyewear Supplier in Eugene, OR, holding Type 2 (organization) NPI 1881645190 since 2006. The authorized official on file is Michael Bettiga, Sr. Vice President Health Services.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1881645190 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shopko Stores Operating Co LLC |
| Other name | <Unavail> |
| Practice address | 2815 CHAD DR, Eugene, OR, 97408 |
| Phone | 5416860838 |
| Enumeration date | 2006-05-12 |
| Last updated in NPPES | 2008-07-10 |
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 |
|---|---|---|---|
| OR04942 | Other | OR | NORIDIAN SUBMITTER ID |
| 014098 | Other | — | VIP |
| 004379 | Medicaid | OR | — |
| 42581 | Other | — | DAVIS VISION |
| CP2230-35 | Other | — | EYEMED |
Copy-ready billing details
Provider: Shopko Stores Operating Co LLC NPI: 1881645190 Taxonomy: 332H00000X (Eyewear Supplier) Address: 2815 CHAD DR, Eugene, OR, 97408
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558313908 | Shopko Stores Operating Co LLC | Organization | Community/Retail Pharmacy | Eugene, OR |
| 1457495061 | Julie Davis | Individual | Pharmacist | Eugene, OR |
| 1144555103 | Jeffrey Thomas | Individual | Optometrist | Eugene, OR |
| 1093088551 | Elizabeth Anderson | Individual | Pharmacist | Eugene, OR |
| 1982977450 | Troy Classen | Individual | Pharmacist | Eugene, OR |
| 1194166124 | Chelsea Wecker | Individual | Pharmacist | Eugene, OR |
| 1164898946 | Wyley Agamenoni | Individual | Pharmacist | Eugene, OR |
| 1629513593 | Amy Lundstedt | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Eugene, OR |
Verify this record
Cross-check NPI 1881645190 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 2026-07-10. Provider record last updated 2008-07-10.