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SHOPKO STORES OPERATING,CO.,LLC
NPI 1265483168
Optometrist in Oregon, WI

Active since May 15, 2006
6218 TRAIL RIDGE CT, OREGON, WI 53575(608) 222-9420(608) 222-0578 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Stores Operating,co.,llc NPPES

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

SHOPKO STORES OPERATING,CO.,LLC (NPI 1265483168) is a healthcare organization registered as an optometrist in Oregon, Wisconsin and active in the NPI registry since May 2006. The organization lists Richard Dewey Olson, Optomotrist, as its authorized official.

NPPES Registry Identity

NPI1265483168
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSHOPKO STORES OPERATING,CO.,LLC
Location Address6218 TRAIL RIDGE CTOregon, WI 53575-2534
Mailing Address6218 Trail Ridge CtOregon, WI 53575-2534 · (608) 222-9420 · Fax (608) 222-0578
Phone(608) 222-9420
Fax(608) 222-0578
Organization SubpartNo
Authorized OfficialRichard Dewey OlsonOptomotrist · (608) 222-9420
Enumeration DateMay 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1265483168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 1772
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
6218 TRAIL RIDGE CT, Oregon, WI 53575
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Other Identifiers 1

Medicaid38416300WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. RICHARD DEWEY OLSON O.D.
Optometrist
6218 TRAIL RIDGE CT
OREGON, WI 53575
Dane County (608) 835-9434

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 1265483168. It was assigned to this organization in the NPPES registry on May 15, 2006.

Where is Shopko Stores Operating,co.,llc located?

Shopko Stores Operating,co.,llc is located at 6218 Trail Ridge Ct, Oregon, WI 53575. The listed phone number is (608) 222-9420.

What is Shopko Stores Operating,co.,llc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating,co.,llc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.