OrganizationActive
Shopko Stores Operating Co LLC
NPI 1376821629 · Eyewear Supplier · Brillion, WI
Shopko Stores Operating Co LLC is a Eyewear Supplier organization in Brillion, WI (NPI 1376821629).
Provider details
- NPI number
- 1376821629
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Michael Bettiga, Executive Vice President & Coo(920) 429-4297
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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.
Practice location
1010 W Ryan St
Brillion, WI 54110-0000
Phone: (920) 756-2640
Street-level locationGet directions
Mailing address
1010 W Ryan St
Brillion, WI 54110-0000
Other names (DBA / former)
- Doing business as
- Shopko Optical 608
Registry dates
- Enumerated
- 2011-08-03
- Last updated
- 2011-12-09
Frequently asked questions
- What is Shopko Stores Operating Co LLC's NPI number?
- Shopko Stores Operating Co LLC's National Provider Identifier (NPI) is 1376821629, 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 1010 W Ryan St, Brillion, WI 54110-0000.
- 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) 756-2640.
- 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, Executive Vice President & Coo. 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 (1376821629) is active in the NPPES registry as of the last update on 2011-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.