ShopKo Optical 083 – Eyewear Supplier, NPI 1346292505

ShopKo Optical 083 is a healthcare provider. based in Sandy, Utah. specializing in Eyewear Supplier. The NPI Number for ShopKo Optical 083 is 1346292505

Main info

Organization
Name
ShopKo Optical 083
NPI
1346292505
Phone
(801) 942-7171
Address
2165 E 9400 S
Authorized Official
MICHAEL J BETTIGA SR. VICE PRESIDENT HEALTH SERVICES RPH
Enumeration Date
16 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 083

  • 9400 South, Wallace Heights, Sandy, Salt Lake County, Utah, 84070, United States

    SANDY, UT 840933201

    Phone: (801) 942-7171

    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.

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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 84093)

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Reviews

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Frequently asked questions

How do I look up ShopKo Optical 083 by NPI?
Use NPI 1346292505 when you need to reference ShopKo Optical 083 in forms, claims, or directories.
Is ShopKo Optical 083 currently active in the NPI registry?
CMS-published data lists ShopKo Optical 083 as an active registrant.
Does ShopKo Optical 083 list a primary specialty?
If you are matching referrals, note Eyewear Supplier for ShopKo Optical 083. Clinical services aligned with this taxonomy classification.
What location metadata exists for ShopKo Optical 083?
The page summarizes Sandy, Utah for ShopKo Optical 083; expand the address list for detail.
What if Sandy, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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