SHOPKO STORES OPERATING CO LLC is an eyewear supplier in Keil, WI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SHOPKO STORES OPERATING CO LLC NPI is 1285912535. The provider is registered as an organization entity type. The provider Is Doing Business As Shopko Optical 609.
The provider's business location address is:
1120 STATE ROAD 67 KEIL, WI ZIP 53042-630 Phone: (920) 894-3604
The provider's authorized official is Michael Bettiga . The authorized official title is Executive Vice President & Coo and has the following contact phone number (920) 429-4297.
The enumeration date for this NPI number is 8/3/2011 and was last updated on 11/3/2011.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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