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 1942483342

Shopko Stores Operating Co LLC is an Eyewear Supplier in Green Bay, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007
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

2320 Lineville Rd
Green Bay, WI 54313-8836
Phone: (920) 434-5845
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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 number1942483342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
Other names Shopko Optical 177
NPI enumeratedDecember 10, 2007
Last updated in NPPESApril 20, 2008
Mailing address2320 Lineville Rd, Green Bay, WI 54313-8836

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