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SHOPKO OPTICAL 007
NPI 1548213184
Eyewear Supplier in La Crosse, WI

Active since May 17, 2006
4344 MORMON COULEE RD, LA CROSSE, WI 54601(608) 788-8800 Get Directions Write a Review

NPPES record last updated: February 8, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shopko Optical 007 NPPES

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

SHOPKO OPTICAL 007 (NPI 1548213184) is a healthcare organization registered as an eyewear supplier in La Crosse, 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

NPI1548213184
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address4344 MORMON COULEE RDLa Crosse, WI 54601-7908
Mailing Address4344 Mormon Coulee RdLa Crosse, WI 54601-7908 · (608) 788-8800
Phone(608) 788-8800
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 8, 2008
✔ NPI 1548213184 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.
4344 MORMON COULEE RD, La Crosse, WI 54601
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Other Names 1

Doing Business AsShopko Optical 007

Other Identifiers 11

Medicare PIN000047346
Other17638Medicare
Other000087829Medicare
Medicare ID-Type Unspecified0154160109
Medicare NSC5695760001
Other35570Avesis
Medicare PINDF0804
Other42527Davis
Other014007Vip
OtherCP2230-75Eyemed
Medicaid38423700WI

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.

MR. MATTHEW JOHN FERNHOLZ RPH
Pharmacist
4344 MORMON COULEE RD
LA CROSSE, WI 54601
La Crosse County (608) 188-8860
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
4344 MORMON COULEE RD
LA CROSSE, WI 54601
La Crosse County (608) 788-8860
MR. MARC CHRISTOPHER ERTZ R.PH.
Pharmacist
4344 MORMON COULEE RD
LA CROSSE, WI 54601
La Crosse County (608) 788-8860
RYAN BARFKNECHT
Pharmacist
4344 MORMON COULEE RD
LA CROSSE, WI 54601
La Crosse County (608) 788-8860
COLLEEN NICOLE KONKEL O.D.
Optometrist
4344 MORMON COULEE RD
LA CROSSE, WI 54601
La Crosse County (608) 788-8800

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 1548213184. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 007.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 4344 Mormon Coulee Rd, La Crosse, WI 54601. The listed phone number is (608) 788-8800.

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 8, 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.