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SHOPKO OPTICAL 032
NPI 1699727719
Eyewear Supplier in Monona, WI

Active since May 17, 2006
2101 W BROADWAY, MONONA, WI 53713(608) 222-9420 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Optical 032 NPPES

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

SHOPKO OPTICAL 032 (NPI 1699727719) is a healthcare organization registered as an eyewear supplier in Monona, 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

NPI1699727719
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address2101 W BROADWAYMonona, WI 53713-1638
Mailing Address2101 W BroadwayMonona, WI 53713-1638 · (608) 222-9420
Phone(608) 222-9420
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1699727719 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.
2101 W BROADWAY, Monona, WI 53713
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Other Names 1

Doing Business AsShopko Optical 032

Other Identifiers 10

Other17668Medicare
Other014032Vip
Medicare PINDF0804
Other42613Davis
Medicare NSC5695760066WI
Medicaid38416300WI
Other35597Avesis
Medicare ID-Type Unspecified0154160169
Other410985054-4032Nva
OtherCP2230-96Eyemed

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.

MR. DAVID EDGAR GERHARDT R.PH.
Pharmacist
2101 W BROADWAY
MONONA, WI 53713
Dane County (608) 222-2066
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
2101 W BROADWAY
MONONA, WI 53713
Dane County (608) 222-2066
AMY SCHELLPFEFFER RPH
Pharmacist
2101 W BROADWAY
MONONA, WI 53713
Dane County (608) 222-2066
LENNIE BIRKETT RPH
Pharmacist
2101 W BROADWAY
MONONA, WI 53713
Dane County (608) 222-2066
DR. MEGAN DRAPER O.D.
Optometrist
2101 W BROADWAY
MONONA, WI 53713
Dane County (608) 222-9420
JILL MARIE GERMAIN O.D.
Optometrist
2101 W BROADWAY
MONONA, WI 53713
Dane County (715) 965-6748

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 1699727719. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 032.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 2101 W Broadway, Monona, WI 53713. The listed phone number is (608) 222-9420.

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.