SHOPKO OPTICAL 094
NPI 1265483572
Eyewear Supplier in Eugene, OR

Active since May 12, 2006
955 BAILEY HILL RD, EUGENE, OR 97402(541) 686-0857 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Optical 094 NPPES

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

SHOPKO OPTICAL 094 (NPI 1265483572) is a healthcare organization registered as an eyewear supplier in Eugene, Oregon 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

NPI1265483572
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address955 BAILEY HILL RDEugene, OR 97402-5486
Mailing Address955 Bailey Hill RdEugene, OR 97402-5486 · (541) 686-0857
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 12, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1265483572 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.

955 BAILEY HILL RD, Eugene, OR 97402

Other Names 1

Doing Business AsShopko Optical 094

Other Identifiers 5

Medicaid006929OR
OtherCP2230-34Eyemed
MedicaidOMAPOR
Other42576Davis Vision
Other014094Vip

Other Providers at the Same Location NPPES

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

Durable Medical Equipment & Medical Supplies
955 BAILEY HILL RD
EUGENE, OR 97402

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 1265483572. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Shopko Optical 094.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 955 Bailey Hill Rd, Eugene, OR 97402. The listed phone number is (541) 686-0857.

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 August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.