SHOPKO OPTICAL 036
NPI 1366495954
Eyewear Supplier in Rochester, MN

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

The NPI number for Shopko Stores Operating Co. LLC is 1366495954. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Optical 036.

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

3708 HWY 63 N, ROCHESTER, MN 55906(507) 281-0657 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shopko Optical 036 NPPES

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

SHOPKO OPTICAL 036 (NPI 1366495954) is a healthcare organization registered as an eyewear supplier in Rochester, Minnesota 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

NPI1366495954

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameSHOPKO STORES OPERATING CO. LLC

Location Address3708 HWY 63 NRochester, MN 55906-3902

Mailing Address3708 Hwy 63 NRochester, MN 55906-3902 · (507) 281-0657

Phone(507) 281-0657

Organization SubpartNo

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

Enumeration DateMay 18, 2006

Last NPPES UpdateApril 15, 2008

✔ NPI 1366495954 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.

3708 HWY 63 N, Rochester, MN 55906

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Other Names 1

Doing Business AsShopko Optical 036

Other Identifiers 12

Other35472Avesis

Other36056Mn Health Partners

Medicare PINDF0849

Other20019120529Mn Ma Primewest Health

Medicare ID-Type Unspecified1111590015

Medicare PINC04276

Other42619Davis

Other213121-16Eyemed

Other64031SHMn Ma First Plan Of Mn

Other17826Medicare

Other411740865-4036National Vision Admin.

Medicare NSC5695760079MN

Other Providers at the Same Location NPPES

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

ANDREA MARIE LLOYD OD

Optometrist

3708 HWY 63 N
ROCHESTER, MN 55906

Olmsted County (507) 281-0657

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 1366495954. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Optical 036.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 3708 Hwy 63 N, Rochester, MN 55906. The listed phone number is (507) 281-0657.

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 15, 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.