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Shopko Stores Operating Co. LLC

Eyewear Supplier in Great Falls, MT · 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

1902859515

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Registry record

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
Enumeration date May 18, 2006
Last updated in NPPES Apr 24, 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

Other identifiers

Identifier Type State Issuer
0550576 Medicaid MT -
213121-20 Other - EYEMED
17877 Other - MEDICARE
35491 Other - AVESIS

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-04-24. Verify at npiregistry.cms.hhs.gov.
Where is Shopko Stores Operating Co. LLC located?
The practice location on file with NPPES is in Great Falls, MT.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-24.