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 1629021480

Shopko Stores Operating Co LLC is an Eyewear Supplier in Fort Madison, Iowa. Registered with an NPI since 2006.

In the registry since
2006
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

4810 Avenue O
Fort Madison, IA 52627-9677
Phone: (319) 372-8633
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 number1629021480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
Other names Shopko Optical 142
NPI enumeratedMay 19, 2006
Last updated in NPPESJanuary 30, 2008
Mailing address4810 Avenue O, Fort Madison, IA 52627-9677