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SHOPKO OPTICAL 099
NPI 1972556694
Eyewear Supplier in Onalaska, WI

Active since May 17, 2006
9366 STATE ROAD 16, ONALASKA, WI 54650(608) 781-2010 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shopko Optical 099 NPPES

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

SHOPKO OPTICAL 099 (NPI 1972556694) is a healthcare organization registered as an eyewear supplier in Onalaska, 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

NPI1972556694
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address9366 STATE ROAD 16Onalaska, WI 54650-8526
Mailing Address9366 State Road 16Onalaska, WI 54650-8526 · (608) 781-2010
Phone(608) 781-2010
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1972556694 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.

9366 STATE ROAD 16, Onalaska, WI 54650
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Other Names 1

Doing Business AsShopko Optical 099

Other Identifiers 10

Other17658Medicare
Medicare ID-Type Unspecified0154160251
Other42583Davis
Medicare NSC5695760017WI
Other410985054-4099Nva
Medicaid38442000WI
Other35581Avesis
Other014099Vip
OtherCP2230-84Eyemed
Medicare PINDF0804

Other Providers at the Same Location NPPES 4

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)
9366 STATE ROAD 16
ONALASKA, WI 54650
La Crosse County (608) 781-5404
RANDY AMMERMAN
Pharmacist
9366 STATE ROAD 16
ONALASKA, WI 54650
La Crosse County (608) 781-5404
STEVEN ALLEN MAYER RPH
Pharmacist
9366 STATE ROAD 16
ONALASKA, WI 54650
La Crosse County (608) 781-5404
MR. JEROME PAUL BOORTZ RPH
Pharmacist
9366 STATE ROAD 16
ONALASKA, WI 54650
La Crosse County (608) 781-5404

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 1972556694. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 9366 State Road 16, Onalaska, WI 54650. The listed phone number is (608) 781-2010.

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 with the weekly NPPES data releases published by CMS.