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HomeProvidersSHOPKO STORES OPERATING CO. LLC

Eyewear Supplier (Equipment, not the service)

SHOPKO STORES OPERATING CO. LLC

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1568415339 · enumerated 2006-05-19 · record updated 2008-07-10. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES recordGoogle Maps Apple Maps OpenStreetMap

Authorized official: MICHAEL BETTIGA RPh, Sr. Vice President Health Services · (920) 429-4297

Other names: SHOPKO OPTICAL 110

Addresses and phones

Specialties

  • Optometrist 152W00000X
  • Technician/Technologist, Optician 156FX1800X
  • Eyewear Supplier (Equipment, not the service) 332H00000X · Primary

In this directory

UT Salt Lake County Salt Lake City Eyewear Supplier (Equipment, not the service)

Locations and evidence

  • Practice location SALT LAKE CITY, UT, 841062831
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.