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 1285912535

Shopko Stores Operating Co LLC is an Eyewear Supplier in Keil, Wisconsin. Registered with an NPI since 2011.

In the registry since
2011
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 →

Practice location Address checks out

1120 State Road 67
Keil, WI 53042-1630
Phone: (920) 894-3604
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1285912535
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Executive Vice President & Coo · (920) 429-4297
Other names Shopko Optical 609
NPI enumeratedAugust 3, 2011
Last updated in NPPESNovember 3, 2011
Mailing address1120 State Road 67, Keil, WI 53042-1630