OrganizationActive
Shopko Stores, Inc.
NPI 1649215666 · Eyewear Supplier · Green Bay, WI
Shopko Stores, Inc. is a Eyewear Supplier organization in Green Bay, WI (NPI 1649215666).
Provider details
- NPI number
- 1649215666
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Michael Bettiga, Sr. Vice President Health Services(920) 429-4297
Specialties & taxonomies
Suppliers
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.
Practice location
700 Pilgrim Way
Green Bay, WI 54304-5263
Phone: (920) 429-4218
Fax: (920) 429-5218
Street-level locationGet directions
Mailing address
Po Box 19060
Green Bay, WI 54307-9060
Other names (DBA / former)
- Doing business as
- Shopko Optical
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2020-08-22
Frequently asked questions
- What is Shopko Stores, Inc.'s NPI number?
- Shopko Stores, Inc.'s National Provider Identifier (NPI) is 1649215666, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shopko Stores, Inc.?
- Shopko Stores, Inc. is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Shopko Stores, Inc. located?
- Shopko Stores, Inc.'s practice location on file with NPPES is 700 Pilgrim Way, Green Bay, WI 54304-5263.
- What is Shopko Stores, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Shopko Stores, Inc. is (920) 429-4218.
- Who is the authorized official for Shopko Stores, Inc.?
- The authorized official listed on Shopko Stores, Inc.'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, Inc.'s NPI active?
- Yes — Shopko Stores, Inc.'s NPI (1649215666) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.