ShopKo Optical 087 – Eyewear Supplier, NPI 1790737955

ShopKo Optical 087 is a healthcare provider. based in Ogden, Utah. specializing in Eyewear Supplier. The NPI Number for ShopKo Optical 087 is 1790737955

Main info

Organization
Name
ShopKo Optical 087
NPI
1790737955
Phone
(801) 392-5100
Address
1018 WASHINGTON BLVD
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 087

  • Ocean Mart, 1018, Washington Boulevard, Ogden, Weber County, Utah, 84404, United States

    OGDEN, UT 844044949

    Phone: (801) 392-5100

    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 84404)

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Reviews

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Frequently asked questions

What number should I use to identify ShopKo Optical 087 for billing?
Administrative and clinical systems typically use NPI 1790737955 for ShopKo Optical 087.
Quick check: is ShopKo Optical 087 active?
Public NPPES data shows ShopKo Optical 087 with an active NPI status right now.
What services align with ShopKo Optical 087's listing?
ShopKo Optical 087's public classification highlights Eyewear Supplier. Clinical services aligned with this taxonomy classification.
Can patients visit ShopKo Optical 087 in Ogden, Utah?
For routing, start with Ogden, Utah for ShopKo Optical 087, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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