SHOPKO OPTICAL 170
NPI 1295788834
Eyewear Supplier in Rhinelander, WI

Active since May 17, 2006
2200 LINCOLN ST, RHINELANDER, WI 54501(715) 362-4800 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Optical 170 NPPES

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

SHOPKO OPTICAL 170 (NPI 1295788834) is a healthcare organization registered as an eyewear supplier in Rhinelander, 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

NPI1295788834
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address2200 LINCOLN STRhinelander, WI 54501-3631
Mailing Address2200 Lincoln StRhinelander, WI 54501-3631 · (715) 362-4800
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 11, 2008
NPI 1295788834 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.

2200 LINCOLN ST, Rhinelander, WI 54501

Other Names 1

Doing Business AsShopko Optical 170

Other Identifiers 11

Medicare ID-Type Unspecified0154160292
Other35585Avesis
Medicaid38454100WI
Other42569Davis
Other410985054-4170Nva
Medicare NSC5695760019WI
Medicare PINDF0804
Other014170Vip
Other17665Medicare
Other47535Medicare
OtherCP2230-87Eyemed

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.

Pharmacist
2200 LINCOLN ST
RHINELANDER, WI 54501
Pharmacist
2200 LINCOLN ST
RHINELANDER, WI 54501
Optometrist
2200 LINCOLN ST, SHOPKO EYE CARE CENTER
RHINELANDER, WI 54501
Pharmacist
2200 LINCOLN ST
RHINELANDER, WI 54501
Pharmacy (Community/Retail Pharmacy)
2200 LINCOLN ST
RHINELANDER, WI 54501

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 1295788834. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 170.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 2200 Lincoln St, Rhinelander, WI 54501. The listed phone number is (715) 362-4800.

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 with the weekly NPPES data releases published by CMS.