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SHOPKO OPTICAL 010
NPI 1225088768
Eyewear Supplier in Marquette, MI

Active since May 12, 2006
1150 W WASHINGTON ST, MARQUETTE, MI 49855(906) 228-4120 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Optical 010 NPPES

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

SHOPKO OPTICAL 010 (NPI 1225088768) is a healthcare organization registered as an eyewear supplier in Marquette, Michigan 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

NPI1225088768
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address1150 W WASHINGTON STMarquette, MI 49855-4040
Mailing Address1150 W Washington StMarquette, MI 49855-4040 · (906) 228-4120
Phone(906) 228-4120
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 12, 2006
Last NPPES UpdateMay 29, 2008
✔ NPI 1225088768 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.
1150 W WASHINGTON ST, Marquette, MI 49855
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Other Names 1

Doing Business AsShopko Optical 010

Other Identifiers 12

Other0N84900Bcbs Il
Other9000E210890MI · Bcbs Pin
Medicare ID-Type Unspecified1111590051
Other410985054-4010Nva
Other213121-12Eyemed
Other014010Vip
Other35465Avesis
Medicare PINDF0754
Medicare PIN0P32290
Other16749Medicarecomplete
Medicare NSC5695760077MI
Other42572Davis Vision

Other Providers at the Same Location NPPES 3

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

SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
1150 W WASHINGTON ST
MARQUETTE, MI 49855
Marquette County (906) 228-8380
DR. SANDRA E. MACPHEE O.D.
Optometrist
1150 W WASHINGTON ST
MARQUETTE, MI 49855
Marquette County (906) 228-4120
MARQUETTE GENERAL HOSPITAL, INC.
Nurse Practitioner (Primary Care)
1150 W WASHINGTON ST
MARQUETTE, MI 49855
Marquette County (906) 225-3580

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 1225088768. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Shopko Optical 010.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 1150 W Washington St, Marquette, MI 49855. The listed phone number is (906) 228-4120.

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 May 29, 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.