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SHOPKO OPTICAL 112
NPI 1750334348
Eyewear Supplier in Helena, MT

Active since May 18, 2006
3101 N MONTANA AVE, HELENA, MT 59602(406) 443-8860 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Optical 112 NPPES

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

SHOPKO OPTICAL 112 (NPI 1750334348) is a healthcare organization registered as an eyewear supplier in Helena, 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

NPI1750334348
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address3101 N MONTANA AVEHelena, MT 59602-7813
Mailing Address3101 N Montana AveHelena, MT 59602-7813 · (406) 443-8860
Phone(406) 443-8860
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 18, 2006
Last NPPES UpdateApril 24, 2008
✔ NPI 1750334348 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
3101 N MONTANA AVE, Helena, MT 59602
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Other Names 1

Doing Business AsShopko Optical 112

Other Identifiers 9

Medicaid0551096MT
Other014112Vip
Other17880Medicare
OtherCP2230-24Eyemed
Other000084250Medicare
Medicare ID-Type Unspecified0154160205
Medicare PINDG0079
Medicare NSC5695760123MT
Medicare PIN000085376MT

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

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

SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
3101 N MONTANA AVE
HELENA, MT 59602
Lewis And Clark County (406) 443-8823

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 1750334348. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Optical 112.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 3101 N Montana Ave, Helena, MT 59602. The listed phone number is (406) 443-8860.

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.