SHOPKO OPTICAL 022
NPI 1750334181
Eyewear Supplier in Mitchell, SD

Active since May 18, 2006
1900 N MAIN ST, MITCHELL, SD 57301(605) 996-7042 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Optical 022 NPPES

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

SHOPKO OPTICAL 022 (NPI 1750334181) is a healthcare organization registered as an eyewear supplier in Mitchell, South Dakota 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

NPI1750334181
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address1900 N MAIN STMitchell, SD 57301-1160
Mailing Address1900 N Main StMitchell, SD 57301-1160 · (605) 996-7042
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 18, 2006
Last NPPES UpdateFebruary 11, 2008
NPI 1750334181 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.
1900 N MAIN ST, Mitchell, SD 57301

Other Names 1

Doing Business AsShopko Optical 022

Other Identifiers 8

Medicare PINS101047SD
Other014022Vip
Medicare NSC5695760053SD
Medicare ID-Type Unspecified1111590046
Medicare PINDF0754
Other17910Medicare
Other35517Avesis
Other213121-27Eyemed

Other Providers at the Same Location NPPES 2

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

Pharmacy (Community/Retail Pharmacy)
1900 N MAIN ST
MITCHELL, SD 57301
Optometrist
1900 N MAIN ST
MITCHELL, SD 57301

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 1750334181. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Optical 022.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 1900 N Main St, Mitchell, SD 57301. The listed phone number is (605) 996-7042.

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 February 11, 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.