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Shopko Stores Operating Co. LLC

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

Data current as of Jul 11, 2026 · sourced from CMS NPPES

National Provider Identifier

1295788834

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co. LLC
Other name <Unavail>
Practice address 2200 Lincoln St, Rhinelander, WI, 54501
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

Other identifiers

Identifier Type State Issuer
CP2230-87 Other EYEMED
42569 Other DAVIS
47535 Other MEDICARE
410985054-4170 Other NVA
014170 Other VIP
35585 Other AVESIS
38454100 Medicaid WI
17665 Other MEDICARE

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 1295788834, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Shopko Stores Operating Co. LLC?
NPPES lists Michael Bettiga (Sr. Vice President Health Services) as the authorized official for this organization.

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