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SHOPKO EYECARE CENTER 4505
NPI 1942793179
Eyewear Supplier in Appleton, WI

Active since June 12, 2018
2101 E EVERGREEN DR, APPLETON, WI 54913(920) 429-2211 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Eyecare Center 4505 NPPES

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

SHOPKO EYECARE CENTER 4505 (NPI 1942793179) is a healthcare organization registered as an eyewear supplier in Appleton, Wisconsin and active in the NPI registry since June 2018. The organization lists Dilip Sedani, Vp, as its authorized official.

NPPES Registry Identity

NPI1942793179
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address2101 E EVERGREEN DRAppleton, WI 54913-9001
Mailing Address700 Pilgrim WayGreen Bay, WI 54304-5263
Phone(920) 429-2211
Organization SubpartNo
Authorized OfficialDilip SedaniVp · (920) 429-7688
Enumeration DateJune 12, 2018
✔ NPI 1942793179 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 E EVERGREEN DR, Appleton, WI 54913
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Other Names 1

Doing Business AsShopko Eyecare Center 4505

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.

JESICA R SCHOEN PHARMD
Pharmacist
2101 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 733-2305
DR. AMY PANKOW PHARMD., RPH
Pharmacist
2101 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 733-2305
MR. KENNETH D WALKER RPH
Pharmacist
2101 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 733-2305
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
2101 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 111-1111
BRADLEY SCHMECHEL PHARM D.
Pharmacist
2101 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 733-2305
MRS. SUZANNE MARY LUNIAK RPH
Pharmacist
2101 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 733-2305

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 1942793179. It was assigned to this organization in the NPPES registry on June 12, 2018. The provider is doing business as Shopko Eyecare Center 4505.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 2101 E Evergreen Dr, Appleton, WI 54913. The listed phone number is (920) 429-2211.

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 June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.