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SHOPKO OPTICAL 085
NPI 1861444010
Eyewear Supplier in Salt Lake City, UT

Active since May 16, 2006
5800 S REDWOOD RD, SALT LAKE CITY, UT 84123(801) 964-1300 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Optical 085 NPPES

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

SHOPKO OPTICAL 085 (NPI 1861444010) is a healthcare organization registered as an eyewear supplier in Salt Lake City, 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

NPI1861444010
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address5800 S REDWOOD RDSalt Lake City, UT 84123-5327
Mailing Address5800 S Redwood RdSalt Lake City, UT 84123-5327 · (801) 964-1300
Phone(801) 964-1300
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 16, 2006
Last NPPES UpdateJuly 10, 2008
✔ NPI 1861444010 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
5800 S REDWOOD RD, Salt Lake City, UT 84123
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Other Names 1

Doing Business AsShopko Optical 085

Other Identifiers 10

OtherCP2230-49Eyemed
Medicare ID-Type Unspecified0154160009
Medicare PIN000058212UT
OtherUT04882UT · Noridian Submitter Id
Other014085Vip
Other17919Medicare
Medicare PINDF0852
Other42545Davis
Medicaid410985054-098UT
Medicare NSC5695760086UT

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 5

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

STEVEN CHARLES DEWEY O.D.
Optometrist
5800 S REDWOOD RD
TAYLORSVILLE, UT 84123
Salt Lake County (801) 964-1300
UTAH CVS PHARMACY LLC
Pharmacy
5800 S REDWOOD RD
TAYLORSVILLE, UT 84123
Salt Lake County (801) 565-0017
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
5800 S REDWOOD RD
SALT LAKE CITY, UT 84123
Salt Lake County (801) 967-5100
DR. ABIGAIL CHRISTOFFERSEN PHARMD
Pharmacist
5800 S REDWOOD RD
TAYLORSVILLE, UT 84123
Salt Lake County (801) 565-0017
MICHEAL THEO HOWARD LEONARD PHARMD
Pharmacist
5800 S REDWOOD RD
TAYLORSVILLE, UT 84123
Salt Lake County (801) 565-0017

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 1861444010. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Shopko Optical 085.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 5800 S Redwood Rd, Salt Lake City, UT 84123. The listed phone number is (801) 964-1300.

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.