SHOPKO OPTICAL 132
NPI 1083667786
Eyewear Supplier in Rice Lake, WI

Q: What is Shopko Stores Operating Co. LLC's NPI number?

The NPI number for Shopko Stores Operating Co. LLC is 1083667786. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 132.

Q: What is Shopko Stores Operating Co. LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Active since May 17, 2006

320 S ACCESS RD, RICE LAKE, WI 54868(715) 236-7906 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shopko Optical 132 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOPKO OPTICAL 132 (NPI 1083667786) is a healthcare organization registered as an eyewear supplier in Rice Lake, 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

NPI1083667786

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameSHOPKO STORES OPERATING CO. LLC

Location Address320 S ACCESS RDRice Lake, WI 54868-8572

Mailing Address320 S Access RdRice Lake, WI 54868-8572 · (715) 236-7906

Phone(715) 236-7906

Organization SubpartNo

Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297

Enumeration DateMay 17, 2006

Last NPPES UpdateFebruary 11, 2008

✔ NPI 1083667786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

320 S ACCESS RD, Rice Lake, WI 54868

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Other Names 1

Doing Business AsShopko Optical 132

Other Identifiers 12

Other014132Vip

Other42551Davis

Other35598Avesis

Other87175Medicare

Other410985054-4132Nva

OtherCP2230-97Eyemed

Medicare NSC5695760074

Medicare PINDF0804

Other10832Medicare

Medicare ID-Type Unspecified0154160226

Medicaid38450400WI

Medicare NSC5695760074WI

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEANNE M LARSON PHARMD.

Pharmacist