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SHOPKO OPTICAL 788
NPI 1821343401
Eyewear Supplier in Columbus, WI

Active since July 19, 2012
200 COMMERCE DR, COLUMBUS, WI 53925(920) 429-7137 Get Directions Write a Review

NPPES record last updated: July 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Optical 788 NPPES

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

SHOPKO OPTICAL 788 (NPI 1821343401) is a healthcare organization registered as an eyewear supplier in Columbus, Wisconsin and active in the NPI registry since July 2012. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1821343401
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address200 COMMERCE DRColumbus, WI 53925
Mailing Address200 Commerce DrColumbus, WI 53925
Phone(920) 429-7137
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateJuly 19, 2012
Last NPPES UpdateJuly 27, 2012
✔ NPI 1821343401 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.
200 COMMERCE DR, Columbus, WI 53925
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Other Names 1

Doing Business AsShopko Optical 788

Other Providers at the Same Location NPPES 3

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

MR. NICHOLAS L SHARROW RPH
Pharmacist
200 COMMERCE DR
COLUMBUS, WI 53925
Columbia County (920) 623-9183
JAMINE KURTH
Pharmacist
200 COMMERCE DR
COLUMBUS, WI 53925
Columbia County (920) 623-9183
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
200 COMMERCE DR
COLUMBUS, WI 53925
Columbia County (920) 623-2700

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 1821343401. It was assigned to this organization in the NPPES registry on July 19, 2012. The provider is doing business as Shopko Optical 788.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 200 Commerce Dr, Columbus, WI 53925. The listed phone number is (920) 429-7137.

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 July 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.