SHOPKO OPTICAL 008
NPI 1588616692
Eyewear Supplier in Rothschild, WI

Q: What is Shopko Stores Operating Co. LLC's NPI number?

The NPI number for Shopko Stores Operating Co. LLC is 1588616692. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 008.

Q: What is Shopko Stores Operating Co. LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Active since May 17, 2006

1039 E GRAND AVE, ROTHSCHILD, WI 54474(715) 359-0649 Get Directions Write a Review

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

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About Shopko Optical 008 NPPES

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

SHOPKO OPTICAL 008 (NPI 1588616692) is a healthcare organization registered as an eyewear supplier in Rothschild, 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

NPI1588616692

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameSHOPKO STORES OPERATING CO. LLC

Location Address1039 E GRAND AVERothschild, WI 54474-1022

Mailing Address1039 E Grand AveRothschild, WI 54474-1022 · (715) 359-0649

Phone(715) 359-0649

Organization SubpartNo

Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297

Enumeration DateMay 17, 2006

Last NPPES UpdateFebruary 11, 2008

✔ NPI 1588616692 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.

1039 E GRAND AVE, Rothschild, WI 54474

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Other Names 1

Doing Business AsShopko Optical 008

Other Identifiers 11

OtherCP2230-89Eyemed

Other87830Medicare

Other35589Avesis

Other014008Vip

Medicare ID-Type Unspecified0154160197

Other17639Medicare

Medicare NSC5695760002WI

Other42530Davis

Other410985054-4008Nva

Medicaid38413100WI

Medicare PINDF0804

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. COURTNEY LEE O'KEEFE O.D.

Optometrist

1039 E GRAND AVE
ROTHSCHILD, WI 54474

Marathon County (715) 359-0649

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 1588616692. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 008.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 1039 E Grand Ave, Rothschild, WI 54474. The listed phone number is (715) 359-0649.

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.