SHOPKO OPTICAL 106
NPI 1063464063
Eyewear Supplier in Billings, MT

Active since May 17, 2006
905 S 24TH ST W, BILLINGS, MT 59102(406) 652-7297 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Optical 106 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOPKO OPTICAL 106 (NPI 1063464063) is a healthcare organization registered as an eyewear supplier in Billings, Montana and active in the NPI registry since May 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1063464063
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address905 S 24TH ST WBillings, MT 59102-7408
Mailing Address905 S 24th St WBillings, MT 59102-7408 · (406) 652-7297
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateApril 24, 2008
NPI 1063464063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Also ListedOptometristTaxonomy 152W00000X
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
905 S 24TH ST W, Billings, MT 59102

Other Names 1

Doing Business AsShopko Optical 106

Other Identifiers 11

Other17879Medicare
Medicare PINDG0079
Other35490Avesis
Medicare PIN000085376MT
Medicare ID-Type Unspecified0154160162
OtherCP2230-23Eyemed
Other014106Vip
Medicaid0551044MT
Medicare NSC5695760125MT
Medicare NSC5695760122
Other000084251Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
905 S 24TH ST W
BILLINGS, MT 59102
Pharmacy (Community/Retail Pharmacy)
905 S 24TH ST W
BILLINGS, MT 59102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shopko Stores Operating Co. LLC's NPI number?

The NPI number for Shopko Stores Operating Co. LLC is 1063464063. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 106.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 905 S 24th St W, Billings, MT 59102. The listed phone number is (406) 652-7297.

What is Shopko Stores Operating Co. LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating Co. LLC was last updated on April 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.