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 1700838729

Shopko Stores Operating Co LLC is an Eyewear Supplier in Dixon, 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

1350 N Galena Ave
Dixon, IL 61021-1010
Phone: (815) 284-3935
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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 number1700838729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
Other names Shopko Optical 119
NPI enumeratedMay 17, 2006
Last updated in NPPESJune 4, 2008
Mailing address1350 N Galena Ave, Dixon, IL 61021-1010

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