ShopKo Optical 108 – Eyewear Supplier, NPI 1114970985

ShopKo Optical 108 is a healthcare provider. based in Spanish fork, Utah. specializing in Eyewear Supplier. The NPI Number for ShopKo Optical 108 is 1114970985

Main info

Organization
Name
ShopKo Optical 108
NPI
1114970985
Phone
(801) 798-3557
Address
955 N MAIN ST
Authorized Official
MICHAEL J BETTIGA SR. VICE PRESIDENT HEALTH SERVICES RPH
Enumeration Date
19 May 2006
Last Update Date
10 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for ShopKo Optical 108

  • The Hive Trampoline & Adventure Park, 955, North Main Street, Spanish Fork, Utah County, Utah, 84660, United States

    SPANISH FORK, UT 846601150

    Phone: (801) 798-3557

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84660)

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Reviews

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Frequently asked questions

What is ShopKo Optical 108's NPI number?
ShopKo Optical 108's NPI is 1114970985 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to ShopKo Optical 108?
You should see ShopKo Optical 108 as active in CMS-hosted NPPES data.
What expertise is attributed to ShopKo Optical 108?
ShopKo Optical 108's specialty line reads Eyewear Supplier. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ShopKo Optical 108?
Travel planning: use Spanish Fork, Utah as the reference point for ShopKo Optical 108, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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