Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Shopko Stores Operating Co. LLC

Eyewear Supplier in Manitowoc, WI · enumerated 2006 · authorized official Michael Bettiga, Sr. Vice President Health Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205888344

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Registry record

Entity type Organization (Type 2)

Legal business name Shopko Stores Operating Co. LLC

Other name <Unavail>

Practice address 3415 Calumet Ave, Manitowoc, WI, 54220

Phone (920) 683-2244

Enumeration date May 17, 2006

Last updated in NPPES Feb 11, 2008

Taxonomy & classification

332H00000X Eyewear Supplier Suppliers Primary

Authorized official

Name Michael Bettiga

Title Sr. Vice President Health Services

Phone (920) 429-4297

Other identifiers

Identifier	Type	State	Issuer
42509	Other	—	DAVIS
13861	Other	—	MEDICARE
38417800	Medicaid	WI	—
CP2230-79	Other	—	EYEMED
014003	Other	—	VIP
410985054-4003	Other	—	NVA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Where is Shopko Stores Operating Co. LLC located?

The practice location on file with NPPES is in Manitowoc, WI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-02-11. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-11.