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

Shopko Stores Operating Co. LLC's National Provider Identifier (NPI) is 1295787315, 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 1000 W Northland Ave, Appleton, WI 54914-1419.

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) 731-4511.

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 (1295787315) is active in the NPPES registry as of the last update on 2008-02-11.

OrganizationActive

Shopko Stores Operating Co. LLC

NPI 1295787315 · Eyewear Supplier · Appleton, WI

Shopko Stores Operating Co. LLC is a Eyewear Supplier organization in Appleton, WI (NPI 1295787315).

Provider details

NPI number: 1295787315
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Organization subpart: No
Authorized official: Michael Bettiga, Sr. Vice President Health Services(920) 429-4297

Practice location

1000 W Northland Ave

Appleton, WI 54914-1419

Phone: (920) 731-4511

Street-level locationGet directions

More WI providers

Mailing address

1000 W Northland Ave

Appleton, WI 54914-1419

Specialties & taxonomies

Eyewear SupplierPrimary332H00000X
Suppliers

Other names (DBA / former)

Doing business as: Shopko Optical 015

Profile Score

Detailed profile(91/100 index)

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

Registry tenure38% of score
20 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: 2006-05-17
Last updated: 2008-02-11

Frequently asked questions

What is Shopko Stores Operating Co. LLC's NPI number?: Shopko Stores Operating Co. LLC's National Provider Identifier (NPI) is 1295787315, 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 1000 W Northland Ave, Appleton, WI 54914-1419.
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) 731-4511.
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 (1295787315) is active in the NPPES registry as of the last update on 2008-02-11.

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