ShopKo Optical 105 – Eyewear Supplier, NPI 1396798161

ShopKo Optical 105 is a healthcare provider. based in Orem, Utah. specializing in Eyewear Supplier. The NPI Number for ShopKo Optical 105 is 1396798161

Main info

Organization
Name
ShopKo Optical 105
NPI
1396798161
Phone
(801) 225-4700
Address
125 S STATE 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

Loading map...

Provider Addresses for ShopKo Optical 105

  • State Street, Orem, Utah County, Utah, 84602, United States

    OREM, UT 840585419

    Phone: (801) 225-4700

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 84058)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify ShopKo Optical 105 for billing?
Administrative and clinical systems typically use NPI 1396798161 for ShopKo Optical 105.
Is ShopKo Optical 105's NPI status active today?
Active status means ShopKo Optical 105's NPI record is not deactivated in the public file.
How should patients interpret ShopKo Optical 105's specialty?
The extract shows Eyewear Supplier for ShopKo Optical 105. Clinical services aligned with this taxonomy classification.
Can patients visit ShopKo Optical 105 in Orem, Utah?
For routing, start with Orem, Utah for ShopKo Optical 105, then verify phone and hours locally.
Why is information missing for ShopKo Optical 105?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

Knighton Vision

Eyewear Supplier
Washington Boulevard, Ogden, Weber County, Utah, 84404, United States
NPI: 1851499677

Vision Center 30-1768

Eyewear Supplier
Walmart Home Office Main Entrance, 702, Southwest 8th Street, Bentonville, Benton County, Arkansas, 72712, United States
NPI: 1487749776

TARGET OPTICAL #4007

Eyewear Supplier
4000, Luxottica Place, Luxottica, Mason, Warren County, Ohio, 45040, United States
NPI: 1205986957

Visionworks

Eyewear Supplier
PO BOX 848448
NPI: 1073903076

Costco Optical #484

Eyewear Supplier
PO BOX 35005
NPI: 1750772034

EYEMART EXPRESS LLC

Eyewear Supplier
366, East University Parkway, Curtis, Orem, Utah County, Utah, 84058, United States
NPI: 1003398025

LENSCRAFTERS #9560

Eyewear Supplier
4000, Luxottica Place, Luxottica, Mason, Warren County, Ohio, 45040, United States
NPI: 1184280935

Excel Optical

Eyewear Supplier
1735 N STATE ST
NPI: 1164125639

WARBY PARKER INC.

Eyewear Supplier
233 SPRING ST FL 6
NPI: 1871323618