SHOPKO STORES OPERATING COMPANY
NPI 1962452052
Optometrist in Green Bay, WI

Q: What is Shopko Stores Operating Company's NPI number?

The NPI number for Shopko Stores Operating Company is 1962452052. It was assigned to this organization in the NPPES registry on May 11, 2006.

Q: What is Shopko Stores Operating Company's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since May 11, 2006

2430 E MASON ST, GREEN BAY, WI 54302(920) 468-4642(920) 468-3490 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shopko Stores Operating Company NPPES

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

SHOPKO STORES OPERATING COMPANY (NPI 1962452052) is a healthcare organization registered as an optometrist in Green Bay, Wisconsin and active in the NPI registry since May 2006. The organization lists James L Schmonsky, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1962452052

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSHOPKO STORES OPERATING COMPANY

Location Address2430 E MASON STGreen Bay, WI 54302-3759

Mailing Address2430 E Mason StGreen Bay, WI 54302-3759 · (920) 468-4642 · Fax (920) 468-3490

Phone(920) 468-4642

Fax(920) 468-3490

Organization SubpartNo

Authorized OfficialJames L SchmonskyOptometrist · (920) 468-4642

Enumeration DateMay 11, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1962452052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in WI · 1643-035

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2430 E MASON ST, Green Bay, WI 54302

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Other Identifiers 1

Medicaid38403100WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

SHOPKO STORES OPERATING CO LLC

Pharmacy (Community/Retail Pharmacy)