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 1679525729

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

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Practice location Address checks out

1964 W Morton Ave
Jacksonville, IL 62650-2621
Phone: (217) 245-6070
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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 number1679525729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
Other names Shopko Optical 140
NPI enumeratedMay 17, 2006
Last updated in NPPESJune 4, 2008
Mailing address1964 W Morton Ave, Jacksonville, IL 62650-2621

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