Shopko Stores Operating Co. LLC
Shopko Stores Operating Co. LLC is a healthcare organization registered as Eyewear Supplier in Great Falls, MT, holding Type 2 (organization) NPI 1902859515 since 2006. The authorized official on file is Michael Bettiga, Sr. Vice President Health Services.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902859515 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shopko Stores Operating Co. LLC |
| Other name | <Unavail> |
| Practice address | 301 NORTHWEST BYP, Great Falls, MT, 59404 |
| Phone | 4067279724 |
| Enumeration date | 2006-05-18 |
| Last updated in NPPES | 2008-04-24 |
Authorized official
| Name | Michael Bettiga |
|---|---|
| Title | Sr. Vice President Health Services |
| Phone | 9204294297 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 156FX1800X | Optician | Secondary | — | — |
| 152W00000X | Optometrist | Secondary | — | — |
| 332H00000X | Eyewear Supplier | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0550576 | Medicaid | MT | — |
| 213121-20 | Other | — | EYEMED |
| 17877 | Other | — | MEDICARE |
| 35491 | Other | — | AVESIS |
Copy-ready billing details
Provider: Shopko Stores Operating Co. LLC NPI: 1902859515 Taxonomy: 332H00000X (Eyewear Supplier) Address: 301 NORTHWEST BYP, Great Falls, MT, 59404
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1508819376 | Shopko Stores Operating Co LLC | Organization | Community/Retail Pharmacy | Great Falls, MT |
| 1255748414 | Colleen Johnson | Individual | Pharmacist | Great Falls, MT |
Verify this record
Cross-check NPI 1902859515 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
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Where is Shopko Stores Operating Co. LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-24.