What is Shopko Stores Operating Co LLC's NPI number?

Shopko Stores Operating Co LLC's National Provider Identifier (NPI) is 1114100518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Shopko Stores Operating Co LLC?

Shopko Stores Operating Co LLC is classified in the NPPES registry as Eyewear Supplier (Suppliers).

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC's practice location on file with NPPES is W3208 Van Roy Rd, Appleton, WI 54915.

What is Shopko Stores Operating Co LLC's phone number?

The practice phone number listed in the NPPES registry for Shopko Stores Operating Co LLC is (920) 111-1111.

Who is the authorized official for Shopko Stores Operating Co LLC?

The authorized official listed on Shopko Stores Operating Co LLC's NPPES record is Michael Bettiga, Sr. Vice President Health Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Shopko Stores Operating Co LLC's NPI active?

Yes — Shopko Stores Operating Co LLC's NPI (1114100518) is active in the NPPES registry as of the last update on 2008-07-17.

OrganizationActive

Shopko Stores Operating Co LLC

NPI 1114100518 · Eyewear Supplier · Appleton, WI

Shopko Stores Operating Co LLC is a Eyewear Supplier organization in Appleton, WI (NPI 1114100518).

Provider details

NPI number: 1114100518
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Organization subpart: No
Authorized official: Michael Bettiga, Sr. Vice President Health Services(920) 429-4297

Practice location

W3208 Van Roy Rd

Appleton, WI 54915

Phone: (920) 111-1111

Street-level locationGet directions

More WI providers

Mailing address

W3208 Van Roy Rd

Appleton, WI 54915

Specialties & taxonomies

Eyewear SupplierPrimary332H00000X
Suppliers

Other names (DBA / former)

Doing business as: Shopko Optical 504

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2007-12-10
Last updated: 2008-07-17

Frequently asked questions

What is Shopko Stores Operating Co LLC's NPI number?: Shopko Stores Operating Co LLC's National Provider Identifier (NPI) is 1114100518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Shopko Stores Operating Co LLC?: Shopko Stores Operating Co LLC is classified in the NPPES registry as Eyewear Supplier (Suppliers).
Where is Shopko Stores Operating Co LLC located?: Shopko Stores Operating Co LLC's practice location on file with NPPES is W3208 Van Roy Rd, Appleton, WI 54915.
What is Shopko Stores Operating Co LLC's phone number?: The practice phone number listed in the NPPES registry for Shopko Stores Operating Co LLC is (920) 111-1111.
Who is the authorized official for Shopko Stores Operating Co LLC?: The authorized official listed on Shopko Stores Operating Co LLC's NPPES record is Michael Bettiga, Sr. Vice President Health Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Shopko Stores Operating Co LLC's NPI active?: Yes — Shopko Stores Operating Co LLC's NPI (1114100518) is active in the NPPES registry as of the last update on 2008-07-17.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions