1. Home
  2. Directory
  3. Wisconsin
  4. River Falls
  5. Eyewear Supplier
  6. NPI Profile

SHOPKO OPTICAL 130
NPI 1508819137
Eyewear Supplier in River Falls, WI

Active since May 17, 2006
1777 PAULSON RD, RIVER FALLS, WI 54022(715) 425-6144 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Optical 130 NPPES

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

SHOPKO OPTICAL 130 (NPI 1508819137) is a healthcare organization registered as an eyewear supplier in River Falls, 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

NPI1508819137
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address1777 PAULSON RDRiver Falls, WI 54022-8299
Mailing Address1777 Paulson RdRiver Falls, WI 54022-8299 · (715) 425-6144
Phone(715) 425-6144
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1508819137 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.
1777 PAULSON RD, River Falls, WI 54022
Open in Google Maps ↗

Other Names 1

Doing Business AsShopko Optical 130

Other Identifiers 15

Other42550Davis
Medicaid32682WI
OtherCP2230-88Eyemed
Other410985054-4130Nva
Medicare ID-Type Unspecified0154160219
Other17664Medicare
Medicare NSC5695760004WI
Medicare PINDF0804
Medicaid4C080SHWI
Medicaid4C079SHWI
Other000087130Medicare
Other014130Vip
Medicaid38449800WI
Medicaid2100691WI
Medicare PIN000047346

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.

SCOTT LINDAMAN RPH
Pharmacist
1777 PAULSON RD
RIVER FALLS, WI 54022
Pierce County (715) 425-6272
DR. ERIC HANSON O.D.
Optometrist
1777 PAULSON RD
RIVER FALLS, WI 54022
Pierce County (715) 425-6144
GREGORY D ARNOLD PHARM.D.
Pharmacist
1777 PAULSON RD
RIVER FALLS, WI 54022
Pierce County (715) 425-6272
MICHELLE RAE SCHNEIDER RPH
Pharmacist
1777 PAULSON RD
RIVER FALLS, WI 54022
Pierce County (715) 425-5256
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
1777 PAULSON RD
RIVER FALLS, WI 54022
Pierce County (715) 425-6272

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 1508819137. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 130.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 1777 Paulson Rd, River Falls, WI 54022. The listed phone number is (715) 425-6144.

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.