OrganizationActive
Shopko Optical Manufacturing LLC
NPI 1821243650 · Eyewear Supplier · De Pere, WI
Shopko Optical Manufacturing LLC is a Eyewear Supplier organization in De Pere, WI (NPI 1821243650).
Provider details
- NPI number
- 1821243650
- 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
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1450 W Main Ave
De Pere, WI 54115-9369
Phone: (920) 429-7253
Street-level locationGet directions
Mailing address
1450 W Main Ave
De Pere, WI 54115-9369
Registry dates
- Enumerated
- 2008-11-20
- Last updated
- 2009-02-24
Frequently asked questions
- What is Shopko Optical Manufacturing LLC's NPI number?
- Shopko Optical Manufacturing LLC's National Provider Identifier (NPI) is 1821243650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shopko Optical Manufacturing LLC?
- Shopko Optical Manufacturing LLC is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Shopko Optical Manufacturing LLC located?
- Shopko Optical Manufacturing LLC's practice location on file with NPPES is 1450 W Main Ave, De Pere, WI 54115-9369.
- What is Shopko Optical Manufacturing LLC's phone number?
- The practice phone number listed in the NPPES registry for Shopko Optical Manufacturing LLC is (920) 429-7253.
- Who is the authorized official for Shopko Optical Manufacturing LLC?
- The authorized official listed on Shopko Optical Manufacturing 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 Optical Manufacturing LLC's NPI active?
- Yes — Shopko Optical Manufacturing LLC's NPI (1821243650) is active in the NPPES registry as of the last update on 2009-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.