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SHOPKO OPTICAL 078
NPI 1306899174
Eyewear Supplier in Rapid City, SD

Active since May 19, 2006
1845 HAINES AVE, RAPID CITY, SD 57701(605) 342-0354 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Optical 078 NPPES

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

SHOPKO OPTICAL 078 (NPI 1306899174) is a healthcare organization registered as an eyewear supplier in Rapid City, 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

NPI1306899174
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address1845 HAINES AVERapid City, SD 57701-0663
Mailing Address1845 Haines AveRapid City, SD 57701-0663 · (605) 342-0354
Phone(605) 342-0354
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1306899174 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.
1845 HAINES AVE, Rapid City, SD 57701
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Other Names 1

Doing Business AsShopko Optical 078

Other Identifiers 8

Medicare PINDF0754
Medicare ID-Type Unspecified0154160065
OtherCP2230-37Eyemed
Medicare NSC5695760048SD
Other17914Medicare
Other014078Vip
Other35518Avesis
Medicare PINS101047SD

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.

DR. GREG SORENSEN O.D.
Optometrist
1845 HAINES AVE
RAPID CITY, SD 57701
Meade County (605) 342-1157
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
1845 HAINES AVE
RAPID CITY, SD 57701
Meade County (605) 342-1055

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 1306899174. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Shopko Optical 078.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 1845 Haines Ave, Rapid City, SD 57701. The listed phone number is (605) 342-0354.

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.