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 1376886267

Shopko Stores Operating Co LLC is an Eyewear Supplier in Wautoma, Wisconsin. Registered with an NPI since 2013.

In the registry since
2013
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

N2585 Plaza Rd
Wautoma, WI 54982-7706
Phone: (920) 787-7709
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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 number1376886267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Executive Vice President And Coo · (920) 429-4297
Other names Shopko Optical
NPI enumeratedMarch 29, 2013
Last updated in NPPESMarch 29, 2013
Mailing addressN2585 Plaza Rd, Wautoma, WI 54982-7706