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 Plan acceptance stays unpublished until the practice reports it.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 1700839545 · 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 104
Addresses and phones
- Mailing address 747 S MAIN ST, BRIGHAM CITY, UT, 84302-3359 (435) 723-1800 Google Maps Apple Maps OpenStreetMap
- Practice location 747 S MAIN ST, BRIGHAM CITY, UT, 84302-3359 (435) 723-1800 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X
- Technician/Technologist, Optician 156FX1800X
- Eyewear Supplier (Equipment, not the service) 332H00000X · Primary
In this directory
UT Box Elder County Brigham City Eyewear Supplier (Equipment, not the service)
Locations and evidence
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Practice location
BRIGHAM CITY, UT, 843023359
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.