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SHOPKO OPTICAL 128
NPI 1528010550
Eyewear Supplier in Kalispell, MT

Active since May 17, 2006
1370 US HIGHWAY 2 E, KALISPELL, MT 59901(406) 257-1278 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Optical 128 NPPES

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

SHOPKO OPTICAL 128 (NPI 1528010550) is a healthcare organization registered as an eyewear supplier in Kalispell, Montana 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

NPI1528010550
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address1370 US HIGHWAY 2 EKalispell, MT 59901-3221
Mailing Address1370 Us Highway 2 EKalispell, MT 59901-3221 · (406) 257-1278
Phone(406) 257-1278
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateApril 24, 2008
✔ NPI 1528010550 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
1370 US HIGHWAY 2 E, Kalispell, MT 59901
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Other Names 1

Doing Business AsShopko Optical 128

Other Identifiers 10

OtherCP2230-25Eyemed
Other17881Medicare
Medicare PIN000085376MT
Medicare PINDG0079
Other014128Vip
Other35493Avesis
Other000083891Medicare
Medicare ID-Type Unspecified0154160222
Medicaid0551174MT
Medicare NSC5695760119MT

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 3

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

MR. MARK STEVEN WALTERS RPH
Pharmacist
1370 US HIGHWAY 2 E
KALISPELL, MT 59901
Flathead County (406) 257-1274
CHERYL GERVASI RPH
Pharmacist
1370 US HIGHWAY 2 E
KALISPELL, MT 59901
Flathead County (406) 257-1274
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
1370 US HIGHWAY 2 E
KALISPELL, MT 59901
Flathead County (406) 257-1274

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 1528010550. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 128.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 1370 Us Highway 2 E, Kalispell, MT 59901. The listed phone number is (406) 257-1278.

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 24, 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.