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SHOPKO OPTICAL
NPI 1649215666
Eyewear Supplier in Green Bay, WI

Active since June 17, 2006
700 PILGRIM WAY, GREEN BAY, WI 54304(920) 429-4218(920) 429-5218 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Optical NPPES

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

SHOPKO OPTICAL (NPI 1649215666) is a healthcare organization registered as an eyewear supplier in Green Bay, Wisconsin and active in the NPI registry since June 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1649215666
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES, INC.
Location Address700 PILGRIM WAYGreen Bay, WI 54304-5263
Mailing AddressPo Box 19060Green Bay, WI 54307-9060 · (920) 429-4218 · Fax (920) 429-5218
Phone(920) 429-4218
Fax(920) 429-5218
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateJune 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649215666 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.
700 PILGRIM WAY, Green Bay, WI 54304
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Other Names 1

Doing Business AsShopko Optical

Other Providers at the Same Location NPPES 6

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

DR. KYLE J KLIKA O.D.
Optometrist
700 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 733-3846
SHOPTIKAL LLC
Eyewear Supplier
700 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 429-7367
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
700 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 429-4218
SHOPKO PROPERTIES, LLC
Eyewear Supplier
700 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 429-2211
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
700 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 429-4218
SHOPKO INSTITUTIONAL CARE SERVICES
Pharmacy (Long Term Care Pharmacy)
700 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 429-4218

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, Inc.'s NPI number?

The NPI number for Shopko Stores, Inc. is 1649215666. It was assigned to this organization in the NPPES registry on June 17, 2006. The provider is doing business as Shopko Optical.

Where is Shopko Stores, Inc. located?

Shopko Stores, Inc. is located at 700 Pilgrim Way, Green Bay, WI 54304. The listed phone number is (920) 429-4218.

What is Shopko Stores, Inc.'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, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.