SHOPKO OPTICAL 035
NPI 1700838802
Eyewear Supplier in Rochester, MN

Active since May 17, 2006
2820 HIGHWAY 63 S, ROCHESTER, MN 55904(507) 281-0687 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 035 NPPES

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

SHOPKO OPTICAL 035 (NPI 1700838802) 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

NPI1700838802
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address2820 HIGHWAY 63 SRochester, MN 55904-5571
Mailing Address2820 Highway 63 SRochester, MN 55904-5571 · (507) 281-0687
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateApril 15, 2008
NPI 1700838802 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.
2820 HIGHWAY 63 S, Rochester, MN 55904

Other Names 1

Doing Business AsShopko Optical 035

Other Identifiers 13

Other42617Davis
Other35471Avesis
Other39687SHMn Ma First Plan Of Mn
Other213121-15Eyemed
Medicare NSC5695760051MN
Medicare PINC04276
Other36055Mn Health Partners
Medicare ID-Type Unspecified1111590006
Other39701SHMn Ma First Plan Of Mn
Other014035Vip
Other20019120523Mn Ma Primewest Health
Medicare PINDF0849
Other17825Medicare

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.

Pharmacist
2820 HIGHWAY 63 S
ROCHESTER, MN 55904
Pharmacy (Community/Retail Pharmacy)
2820 HIGHWAY 63 S
ROCHESTER, MN 55904
Pharmacist
2820 HIGHWAY 63 S
ROCHESTER, MN 55904

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 1700838802. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 035.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 2820 Highway 63 S, Rochester, MN 55904. The listed phone number is (507) 281-0687.

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.