SHOPKO OPTICAL 049
NPI 1124071568
Eyewear Supplier in Aberdeen, SD

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

The NPI number for Shopko Stores Operating Co. LLC is 1124071568. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Optical 049.

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

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

Active since May 18, 2006

500 N HWY 281, ABERDEEN, SD 57401(605) 225-7677 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shopko Optical 049 NPPES

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

SHOPKO OPTICAL 049 (NPI 1124071568) is a healthcare organization registered as an eyewear supplier in Aberdeen, South Dakota 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

NPI1124071568

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameSHOPKO STORES OPERATING CO. LLC

Location Address500 N HWY 281Aberdeen, SD 57401-1821

Mailing Address500 N Hwy 281Aberdeen, SD 57401-1821 · (605) 225-7677

Phone(605) 225-7677

Organization SubpartNo

Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297

Enumeration DateMay 18, 2006

Last NPPES UpdateFebruary 11, 2008

✔ NPI 1124071568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

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

500 N HWY 281, Aberdeen, SD 57401

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Other Names 1

Doing Business AsShopko Optical 049

Other Identifiers 8

Medicare NSC5695760069SD

Medicare PINS101047SD

Other213121-26Eyemed

Medicare ID-Type Unspecified1111590009

Other014049Vip

Other17911Medicare

Other35516Avesis

Medicare PINDF0754

Other Providers at the Same Location NPPES

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

DR. JASON ARTHUR LORENZ O.D.

Optometrist

500 N HWY 281
ABERDEEN, SD 57401

Brown County (605) 225-7677

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 1124071568. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Optical 049.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 500 N Hwy 281, Aberdeen, SD 57401. The listed phone number is (605) 225-7677.

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 February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.