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

Shopko Stores Operating Co LLC

Organization Eyewear Supplier · NPI 1104879808

Shopko Stores Operating Co LLC is an Eyewear Supplier in Grafton, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1771 Wisconsin Ave
Grafton, WI 53024-2437
Phone: (262) 375-0505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1104879808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
Other names Shopko Optical 090
NPI enumeratedMay 17, 2006
Last updated in NPPESFebruary 11, 2008
Mailing address1771 Wisconsin Ave, Grafton, WI 53024-2437

Other providers in Grafton