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 1689835647

Shopko Stores Operating Co LLC is an Eyewear Supplier in North Branch, Minnesota. 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.

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Practice location Address checks out

5630 St Croix Trl
North Branch, MN 55056
Phone: (651) 674-9951
Fax: (651) 674-9907
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 number1689835647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
Other names Shopko Optical 179
NPI enumeratedJune 23, 2008
Last updated in NPPESJune 18, 2009
Mailing address5630 St Croix Trail, North Branch, MN 55056

Other providers in North Branch