SHOPKO OPTICAL 100
NPI 1912950619
Eyewear Supplier in Neenah, WI

Active since May 17, 2006
699 GREEN BAY RD, NEENAH, WI 54956(920) 751-0275 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 100 NPPES

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

SHOPKO OPTICAL 100 (NPI 1912950619) is a healthcare organization registered as an eyewear supplier in Neenah, 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

NPI1912950619
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address699 GREEN BAY RDNeenah, WI 54956-3153
Mailing Address699 Green Bay RdNeenah, WI 54956-3153 · (920) 751-0275
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 11, 2008
NPI 1912950619 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.
699 GREEN BAY RD, Neenah, WI 54956

Other Names 1

Doing Business AsShopko Optical 100

Other Identifiers 9

Medicare ID-Type Unspecified0154160145
Medicaid38443900WI
Medicare NSC5695760110WI
OtherCP2230-83Eyemed
Other17659Medicare
Other410985054-4100Nva
Other42585Davis
Medicare PINDF0804
Other014100Vip

Other Providers at the Same Location NPPES 2

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

Pharmacy (Community/Retail Pharmacy)
699 GREEN BAY RD
NEENAH, WI 54956
Optometrist
699 GREEN BAY RD
NEENAH, WI 54956

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 1912950619. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 100.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 699 Green Bay Rd, Neenah, WI 54956. The listed phone number is (920) 751-0275.

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.