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Shopko Stores Operating,Co.,LLC

Optometrist in Oregon, WI · enumerated 2006 · authorized official Richard Olson, Optomotrist.

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

National Provider Identifier

1265483168

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating,Co.,LLC
Practice address 6218 Trail Ridge Ct, Oregon, WI, 53575
Phone (608) 222-9420
Fax (608) 222-0578
Enumeration date May 15, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 1772 (WI) Primary

Authorized official

Name Richard Olson
Title Optomotrist
Phone (608) 222-9420

Other identifiers

Identifier Type State Issuer
38416300 Medicaid WI -

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

What is the NPI number for Shopko Stores Operating,Co.,LLC?
The NPI for Shopko Stores Operating,Co.,LLC is 1265483168, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Shopko Stores Operating,Co.,LLC?
NPPES lists Richard Olson (Optomotrist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.