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 1316108376

Shopko Stores Operating Co LLC is an Eyewear Supplier in Sussex, Wisconsin. Registered with an NPI since 2008.

In the registry since
2008
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

N66 W25201 Cth V V
Sussex, WI 53089
Phone: (262) 820-2611
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 number1316108376
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
Other names Shopko Optical 178
NPI enumeratedJune 23, 2008
Last updated in NPPESSeptember 10, 2008
Mailing addressN66 W25201 Cth V V, Sussex, WI 53089