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

Shopko Stores Operating Co LLC

Organization Eyewear Supplier · NPI 1275017907

Shopko Stores Operating Co LLC is an Eyewear Supplier in Waukesha, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018
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

1166 W Sunset Dr Ste F100
Waukesha, WI 53189
Phone: (920) 429-2211
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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 number1275017907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dilip Sedani — Vp · (920) 429-7688
Other names Shopko Eyecare Center 4217
NPI enumeratedSeptember 19, 2018
Last updated in NPPESSeptember 19, 2018
Mailing address700 Pilgrim Way, Green Bay, WI 54304-5263

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