SHOPKO OPTICAL 019
NPI 1457303455
Eyewear Supplier in Watertown, WI
About Shopko Optical 019 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHOPKO OPTICAL 019 (NPI 1457303455) is a healthcare organization registered as an eyewear supplier in Watertown, 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
Specialties & Licenses
Other Names 1
Other Identifiers 9
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERTOWN, WI 53094
WATERTOWN, WI 53094
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 1457303455. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 019.
Where is Shopko Stores Operating Co. LLC located?
Shopko Stores Operating Co. LLC is located at 701 S Church St, Watertown, WI 53094. The listed phone number is (920) 261-9225.
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.
