SHOPKO OPTICAL 062
NPI 1902859515
Eyewear Supplier in Great Falls, MT

Active since May 18, 2006
301 NORTHWEST BYP, GREAT FALLS, MT 59404(406) 727-9724 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Optical 062 NPPES

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

SHOPKO OPTICAL 062 (NPI 1902859515) is a healthcare organization registered as an eyewear supplier in Great Falls, 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

NPI1902859515
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address301 NORTHWEST BYPGreat Falls, MT 59404-4125
Mailing Address301 Northwest BypGreat Falls, MT 59404-4125 · (406) 727-9724
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 18, 2006
Last NPPES UpdateApril 24, 2008
NPI 1902859515 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
301 NORTHWEST BYP, Great Falls, MT 59404

Other Names 1

Doing Business AsShopko Optical 062

Other Identifiers 8

Medicare PIN000085376MT
Medicare ID-Type Unspecified1111590030
Medicare PINDG0079
Other35491Avesis
Medicare NSC5695760121MT
Other17877Medicare
Other213121-20Eyemed
Medicaid0550576MT

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 2

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

Pharmacist
301 NORTHWEST BYP
GREAT FALLS, MT 59404
Pharmacy (Community/Retail Pharmacy)
301 NORTHWEST BYP
GREAT FALLS, MT 59404

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 1902859515. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Optical 062.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 301 Northwest Byp, Great Falls, MT 59404. The listed phone number is (406) 727-9724.

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 with the weekly NPPES data releases published by CMS.