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 1376821629

Shopko Stores Operating Co LLC is an Eyewear Supplier in Brillion, 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.

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Practice location Address checks out

1010 W Ryan St
Brillion, WI 54110-0000
Phone: (920) 756-2640
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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 number1376821629
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Executive Vice President & Coo · (920) 429-4297
Other names Shopko Optical 608
NPI enumeratedAugust 3, 2011
Last updated in NPPESDecember 9, 2011
Mailing address1010 W Ryan St, Brillion, WI 54110-0000

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