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SHOPKO OPTICAL 024
NPI 1457303448
Eyewear Supplier in Eau Claire, WI

Active since May 17, 2006
963 W CLAIREMONT AVE, EAU CLAIRE, WI 54701(715) 832-7723 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Optical 024 NPPES

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

SHOPKO OPTICAL 024 (NPI 1457303448) is a healthcare organization registered as an eyewear supplier in Eau Claire, 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

NPI1457303448
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address963 W CLAIREMONT AVEEau Claire, WI 54701-6103
Mailing Address963 W Clairemont AveEau Claire, WI 54701-6103 · (715) 832-7723
Phone(715) 832-7723
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1457303448 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.
963 W CLAIREMONT AVE, Eau Claire, WI 54701
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Other Names 1

Doing Business AsShopko Optical 024

Other Identifiers 11

OtherCP2230-66Eyemed
Medicaid38404800WI
Other42612Davis
Medicare NSC5695760103WI
Other87844Medicare
Medicare ID-Type Unspecified0154160151
Other17644Medicare
Other35559Avesis
Other410985054-4024Nva
Other014024Vip
Medicare PINDF0804

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.

DR. JOSEPH S. GOLDSMITH OD
Optometrist
963 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Eau Claire County (715) 832-7723
DR. SETH ARDEN MANKE OD
Optometrist
963 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Eau Claire County (715) 832-7723
SHOPTIKAL LLC
Eyewear Supplier
963 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Eau Claire County (715) 832-7723
DONALD GEORGE LORENTZ O.D.
Optometrist
963 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Eau Claire County (715) 832-7723
DR. STEVEN PATRIC NEYENS O.D.
Optometrist
963 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Eau Claire County (715) 832-7723

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 1457303448. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 024.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 963 W Clairemont Ave, Eau Claire, WI 54701. The listed phone number is (715) 832-7723.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.