SHOPKO OPTICAL 504
NPI 1114100518
Eyewear Supplier in Appleton, WI
About Shopko Optical 504 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHOPKO OPTICAL 504 (NPI 1114100518) is a healthcare organization registered as an eyewear supplier in Appleton, Wisconsin and active in the NPI registry since December 2007. The organization lists Michael Bettiga, Sr. Vice President Health Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 7
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
APPLETON, WI 54915
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 1114100518. It was assigned to this organization in the NPPES registry on December 10, 2007. The provider is doing business as Shopko Optical 504.
Where is Shopko Stores Operating Co LLC located?
Shopko Stores Operating Co LLC is located at W3208 Van Roy Rd, Appleton, WI 54915. The listed phone number is (920) 111-1111.
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 July 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.
