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SHOPKO OPTICAL 088
NPI 1790737229
Eyewear Supplier in Layton, UT

Active since May 16, 2006
1150 N MAIN ST, LAYTON, UT 84041(801) 547-9100 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Optical 088 NPPES

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

SHOPKO OPTICAL 088 (NPI 1790737229) is a healthcare organization registered as an eyewear supplier in Layton, Utah 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

NPI1790737229
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address1150 N MAIN STLayton, UT 84041-4853
Mailing Address1150 N Main StLayton, UT 84041-4853 · (801) 547-9100
Phone(801) 547-9100
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 16, 2006
Last NPPES UpdateJuly 10, 2008
✔ NPI 1790737229 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
1150 N MAIN ST, Layton, UT 84041
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Other Names 1

Doing Business AsShopko Optical 088

Other Identifiers 11

Other014088Vip
OtherUT04879UT · Noridian Submitter Id
Medicare PIN000058212UT
Medicare PINDF0852
Medicare ID-Type Unspecified0154160073
Medicaid410985054-117UT
Other42588Davis
OtherCP2230-42Eyemed
Medicare NSC5695760043UT
Other17923Medicare
Other35525Avesis

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)
1150 N MAIN ST
LAYTON, UT 84041
Davis County (801) 546-0404

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 1790737229. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Shopko Optical 088.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 1150 N Main St, Layton, UT 84041. The listed phone number is (801) 547-9100.

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 July 10, 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.