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SHOPKO OPTICAL 602
NPI 1346569183
Eyewear Supplier in Oconto, WI

Active since May 19, 2010
126 CHARLES ST, OCONTO, WI 54153(920) 834-1111(920) 834-9801 Get Directions Write a Review

NPPES record last updated: July 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Optical 602 NPPES

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

SHOPKO OPTICAL 602 (NPI 1346569183) is a healthcare organization registered as an eyewear supplier in Oconto, Wisconsin and active in the NPI registry since May 2010. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1346569183
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address126 CHARLES STOconto, WI 54153-9446
Mailing Address126 Charles StOconto, WI 54153-9446 · (920) 834-1111 · Fax (920) 834-9801
Phone(920) 834-1111
Fax(920) 834-9801
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateMay 19, 2010
Last NPPES UpdateJuly 26, 2011
✔ NPI 1346569183 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.
126 CHARLES ST, Oconto, WI 54153
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Other Names 1

Doing Business AsShopko Optical 602

Other Identifiers 1

Medicare NSC5695760147

Other Providers at the Same Location NPPES 4

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

DR. JACLYN ANN KELLER O.D.
Optometrist
126 CHARLES ST
OCONTO, WI 54153
Oconto County (920) 834-5251
MR. THOMAS LOTTER SR. RPH
Pharmacist
126 CHARLES ST
OCONTO, WI 54153
Oconto County (920) 834-5251
SHOPKO #602
Pharmacy
126 CHARLES ST
OCONTO, WI 54153
Oconto County (920) 834-5251
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
126 CHARLES ST
OCONTO, WI 54153
Oconto County (920) 834-9800

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 1346569183. It was assigned to this organization in the NPPES registry on May 19, 2010. The provider is doing business as Shopko Optical 602.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 126 Charles St, Oconto, WI 54153. The listed phone number is (920) 834-1111.

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 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.