SHOPKO OPTICAL 060
NPI 1528010642
Eyewear Supplier in Albert Lea, MN

Active since May 17, 2006
2610 BRIDGE AVE, ALBERT LEA, MN 56007(507) 373-2269 Get Directions Write a Review

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

About Shopko Optical 060 NPPES

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

SHOPKO OPTICAL 060 (NPI 1528010642) is a healthcare organization registered as an eyewear supplier in Albert Lea, 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

NPI1528010642
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address2610 BRIDGE AVEAlbert Lea, MN 56007-2075
Mailing Address2610 Bridge AveAlbert Lea, MN 56007-2075 · (507) 373-2269
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateApril 15, 2008
NPI 1528010642 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.
2610 BRIDGE AVE, Albert Lea, MN 56007

Other Names 1

Doing Business AsShopko Optical 060

Other Identifiers 15

Other014060Vip
OtherCP2230-17Eyemed
Other21000715Mn Ma Medica Choice Care
Other30329SHMn Blue Plus Care
Medicare NSC5695760094MN
Other17831Medicare
Medicare ID-Type Unspecified0154160153
Medicare PINC04276
Other03092036206Mn Ma Primewest Health
Other36059Mn Health Partners
Other30328SHMn Ma First Plan Of Mn
Medicare PINDF0849
Other410985054-4060National Vision Admin.
Other35466Avesis
Other42496Davis

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.

Optometrist
2610 BRIDGE AVE
ALBERT LEA, MN 56007
Pharmacist
2610 BRIDGE AVE
ALBERT LEA, MN 56007
Pharmacy (Community/Retail Pharmacy)
2610 BRIDGE AVE
ALBERT LEA, MN 56007
Pharmacist
2610 BRIDGE AVE
ALBERT LEA, MN 56007
Optometrist
2610 BRIDGE AVE
ALBERT LEA, MN 56007

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 1528010642. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 060.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 2610 Bridge Ave, Albert Lea, MN 56007. The listed phone number is (507) 373-2269.

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.