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SHOPKO OPTICAL 607
NPI 1477831618
Eyewear Supplier in Seymour, WI

Active since July 21, 2011
1010 SOUTH MAINLINE DR, SEYMOUR, WI 54165(920) 833-0430 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Optical 607 NPPES

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

SHOPKO OPTICAL 607 (NPI 1477831618) is a healthcare organization registered as an eyewear supplier in Seymour, Wisconsin and active in the NPI registry since July 2011. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1477831618
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1010 SOUTH MAINLINE DRSeymour, WI 54165-1451
Mailing Address1010 South Mainline DrSeymour, WI 54165-1451
Phone(920) 833-0430
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateJuly 21, 2011
Last NPPES UpdateOctober 17, 2011
✔ NPI 1477831618 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.
1010 SOUTH MAINLINE DR, Seymour, WI 54165
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Other Names 1

Doing Business AsShopko Optical 607

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 1477831618. It was assigned to this organization in the NPPES registry on July 21, 2011. The provider is doing business as Shopko Optical 607.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1010 South Mainline Dr, Seymour, WI 54165. The listed phone number is (920) 833-0430.

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 October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.