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 Optometrist · NPI 1902859531

Shopko Stores Operating Co LLC is an Optometrist in Walla Walla, Washington. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
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

1600 W Rose St
Walla Walla, WA 99362-1771
Phone: (509) 525-9301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X
Optometrist Taxonomy 152W00000X
Optician Taxonomy 156FX1800X

Record details

NPI number1902859531
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
Other names Shopko Optical 089
NPI enumeratedMay 17, 2006
Last updated in NPPESJune 5, 2009
Mailing address1600 W Rose St, Walla Walla, WA 99362-1771

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