ShopKo Optical 085 – Eyewear Supplier, NPI 1861444010

ShopKo Optical 085 is a healthcare provider. based in Salt lake city, Utah. specializing in Eyewear Supplier. The NPI Number for ShopKo Optical 085 is 1861444010

Main info

Organization
Name
ShopKo Optical 085
NPI
1861444010
Phone
(801) 964-1300
Address
5800 S REDWOOD RD
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 085

  • Redwood Road, Jordan Meadows, Salt Lake City, Salt Lake County, Utah, 84134, United States

    SALT LAKE CITY, UT 841235327

    Phone: (801) 964-1300

    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 84123)

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Reviews

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Frequently asked questions

What unique ID ties claims to ShopKo Optical 085?
NPI 1861444010 is assigned to ShopKo Optical 085 under the national enumeration system.
Is ShopKo Optical 085's NPI currently valid?
The extract we use shows ShopKo Optical 085 as active.
Does ShopKo Optical 085 list a primary specialty?
If you are matching referrals, note Eyewear Supplier for ShopKo Optical 085. Clinical services aligned with this taxonomy classification.
Where does public data place ShopKo Optical 085?
The snapshot lists Salt Lake City, Utah for ShopKo Optical 085; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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