SHOPKO OPTICAL 066
NPI 1447203146
Eyewear Supplier in Spokane, WA

Active since May 17, 2006
9520 N NEWPORT HWY, SPOKANE, WA 99218(509) 466-7136 Get Directions Write a Review

NPPES record last updated: June 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Optical 066 NPPES

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

SHOPKO OPTICAL 066 (NPI 1447203146) is a healthcare organization registered as an eyewear supplier in Spokane, Washington 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

NPI1447203146
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address9520 N NEWPORT HWYSpokane, WA 99218-1219
Mailing Address9520 N Newport HwySpokane, WA 99218-1219 · (509) 466-7136
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateJune 5, 2009
NPI 1447203146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

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

Also ListedOptometristTaxonomy 152W00000X
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
9520 N NEWPORT HWY, Spokane, WA 99218

Other Names 1

Doing Business AsShopko Optical 066

Other Identifiers 13

Other35545Avesis
Medicare ID-Type Unspecified1111590021
Other014066Vip
Medicare NSC5695760076WA
Other10828Medicare
OtherWA09210WA · Noridian Submitter Id
OtherG8854723Medicare
Other213121-28Eyemed
Other42503Davis
Medicare PINDF1015
Medicaid2018711WA
Medicaid2005064WA
Medicare PING8860389WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Pharmacy (Community/Retail Pharmacy)
9520 N NEWPORT HWY
SPOKANE, WA 99218
Pharmacist
9520 N NEWPORT HWY
SPOKANE, WA 99218
Pharmacist
9520 N NEWPORT HWY
SPOKANE, WA 99218
Optometrist
9520 N NEWPORT HWY
SPOKANE, WA 99218
Pharmacist
9520 N NEWPORT HWY
SPOKANE, WA 99218

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 1447203146. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 066.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 9520 N Newport Hwy, Spokane, WA 99218. The listed phone number is (509) 466-7136.

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 June 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.