SHOPKO OPTICAL 031
NPI 1083667638
Eyewear Supplier in Kenosha, WI
About Shopko Optical 031 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHOPKO OPTICAL 031 (NPI 1083667638) is a healthcare organization registered as an eyewear supplier in Kenosha, Wisconsin and active in the NPI registry since May 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 9
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shopko Stores Operating Co. LLC's NPI number?
The NPI number for Shopko Stores Operating Co. LLC is 1083667638. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 031.
Where is Shopko Stores Operating Co. LLC located?
Shopko Stores Operating Co. LLC is located at 5300 52nd St, Kenosha, WI 53144. The listed phone number is (262) 658-8119.
What is Shopko Stores Operating Co. LLC's specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
When was this NPI record last updated?
The NPPES record for Shopko Stores Operating Co. LLC was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
