Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shopko Stores Operating Co LLC

Organization Optician · NPI 1184677759

Shopko Stores Operating Co LLC is an Optician in Meridian, Idaho. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3499 E Fairview Ave
Meridian, ID 83642-5848
Phone: (208) 884-1362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X
Optician Taxonomy 156FX1800X

Record details

NPI number1184677759
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
Other names Shopko Optical 169
NPI enumeratedMay 18, 2006
Last updated in NPPESAugust 3, 2009
Mailing address3499 E Fairview Ave, Meridian, ID 83642-5848

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