Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shopko Optical Manufacturing LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1821243650

Shopko Optical Manufacturing LLC is a Durable Medical Equipment & Medical Supplies in De Pere, Wisconsin. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1450 W Main Ave
De Pere, WI 54115-9369
Phone: (920) 429-7253
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1821243650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
NPI enumeratedNovember 20, 2008
Last updated in NPPESFebruary 24, 2009
Mailing address1450 W Main Ave, De Pere, WI 54115-9369

Other providers in De Pere