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SHOPKO OPTICAL 009
NPI 1902858970
Eyewear Supplier in Marshfield, WI

Active since May 17, 2006
1306 N CENTRAL AVE, MARSHFIELD, WI 54449(715) 387-8608 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 009 NPPES

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

SHOPKO OPTICAL 009 (NPI 1902858970) is a healthcare organization registered as an eyewear supplier in Marshfield, 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

NPI1902858970
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address1306 N CENTRAL AVEMarshfield, WI 54449-1507
Mailing Address1306 N Central AveMarshfield, WI 54449-1507 · (715) 387-8608
Phone(715) 387-8608
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1902858970 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.
1306 N CENTRAL AVE, Marshfield, WI 54449
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Other Names 1

Doing Business AsShopko Optical 009

Other Identifiers 10

Medicare ID-Type Unspecified0154160066
Other014009Vip
Other410985054-4009Nva
Other42566Davis
Other87831Medicare
Medicare NSC5695760003WI
OtherCP2230-81Eyemed
Other17640Medicare
Medicaid38416900WI
Medicare PINDF0804

Other Providers at the Same Location NPPES 7

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

KEITH KOSCIELSKI RPH.
Pharmacist
1306 N CENTRAL AVE
MARSHFIELD, WI 54449
Wood County (715) 387-3705
DR. MARGARET WOLAN O.D.
Optometrist
1306 N CENTRAL AVE
MARSHFIELD, WI 54449
Wood County (715) 387-8608
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
1306 N CENTRAL AVE
MARSHFIELD, WI 54449
Wood County (715) 387-3705
DAVID ALAN BUSHEE
Pharmacist
1306 N CENTRAL AVE
MARSHFIELD, WI 54449
Wood County (715) 387-3705
DR. JAMES EUGENE FENELI O.D.
Optometrist
1306 N CENTRAL AVE
MARSHFIELD, WI 54449
Wood County (715) 387-8608
DR. MARGARET MCLEAN, LACEY HYDE PHARM.D
Pharmacist
1306 N CENTRAL AVE
MARSHFIELD, WI 54449
Wood County (715) 387-3705
NATHAN KRALL RPH, PHARMD
Pharmacist
1306 N CENTRAL AVE
MARSHFIELD, WI 54449
Wood County (715) 387-3705

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 1902858970. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 009.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 1306 N Central Ave, Marshfield, WI 54449. The listed phone number is (715) 387-8608.

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.