SHOPKO STORES OPERATING CO LLC
NPI 1275017907
Eyewear Supplier in Waukesha, WI

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

The NPI number for Shopko Stores Operating Co LLC is 1275017907. It was assigned to this organization in the NPPES registry on September 19, 2018. The provider is doing business as Shopko Eyecare Center 4217.

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 September 19, 2018

1166 W SUNSET DRIVE, SUITE F100, WAUKESHA, WI 53189(920) 429-2211 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1275017907), doing business as Shopko Eyecare Center 4217, is a healthcare organization registered as an eyewear supplier in Waukesha, Wisconsin and active in the NPI registry since September 2018. The organization lists Dilip Sedani, Vp, as its authorized official.

NPPES Registry Identity

NPI1275017907

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameSHOPKO STORES OPERATING CO LLC

Location Address1166 W SUNSET DRIVE, SUITE F100Waukesha, WI 53189

Mailing Address700 Pilgrim WayGreen Bay, WI 54304-5263

Phone(920) 429-2211

Organization SubpartNo

Authorized OfficialDilip SedaniVp · (920) 429-7688

Enumeration DateSeptember 19, 2018

✔ NPI 1275017907 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.

1166 W SUNSET DRIVE, Waukesha, WI 53189

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Other Names 1

Doing Business AsShopko Eyecare Center 4217

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 1275017907. It was assigned to this organization in the NPPES registry on September 19, 2018. The provider is doing business as Shopko Eyecare Center 4217.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1166 W Sunset Drive Suite F100, Waukesha, WI 53189. The listed phone number is (920) 429-2211.

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 September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.