ShopKo Optical 110 – Eyewear Supplier, NPI 1568415339

ShopKo Optical 110 is a healthcare provider. based in Salt lake city, Utah. specializing in Eyewear Supplier. The NPI Number for ShopKo Optical 110 is 1568415339

Main info

Organization
Name
ShopKo Optical 110
NPI
1568415339
Phone
(801) 467-8989
Address
2290 S 1300 E
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 110

  • 1300 East, Sugar House, Salt Lake City, Salt Lake County, Utah, 84106, United States

    SALT LAKE CITY, UT 841062831

    Phone: (801) 467-8989

    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.

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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 84106)

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Reviews

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Frequently asked questions

What is the registry number for ShopKo Optical 110?
The registry entry for ShopKo Optical 110 shows NPI 1568415339.
Is ShopKo Optical 110's NPI status active today?
Active status means ShopKo Optical 110's NPI record is not deactivated in the public file.
What services align with ShopKo Optical 110's listing?
ShopKo Optical 110's public classification highlights Eyewear Supplier. Clinical services aligned with this taxonomy classification.
Can patients visit ShopKo Optical 110 in Salt Lake City, Utah?
For routing, start with Salt Lake City, Utah for ShopKo Optical 110, then verify phone and hours locally.
Who maintains ShopKo Optical 110's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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