SHOPKO OPTICAL
NPI 1356684245
Eyewear Supplier in Glencoe, MN

Active since March 29, 2013
3225 10TH ST E, GLENCOE, MN 55336(320) 864-5194 Get Directions Write a Review

NPPES record last updated: March 29, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Optical NPPES

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

SHOPKO OPTICAL (NPI 1356684245) is a healthcare organization registered as an eyewear supplier in Glencoe, Minnesota and active in the NPI registry since March 2013. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1356684245
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address3225 10TH ST EGlencoe, MN 55336-3369
Mailing Address3225 10th St EGlencoe, MN 55336-3369
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateMarch 29, 2013
NPI 1356684245 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.

3225 10TH ST E, Glencoe, MN 55336

Other Names 1

Doing Business AsShopko Optical

Other Providers at the Same Location NPPES 2

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

Pharmacy (Community/Retail Pharmacy)
3225 10TH ST E
GLENCOE, MN 55336
Pharmacist
3225 10TH ST E
GLENCOE, MN 55336

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 1356684245. It was assigned to this organization in the NPPES registry on March 29, 2013. The provider is doing business as Shopko Optical.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 3225 10th St E, Glencoe, MN 55336. The listed phone number is (320) 864-5194.

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 March 29, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.