Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum
Shopko Stores Operating Co. LLC
Eyewear Supplier in West Bend, 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
1326090341
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Registry record
Taxonomy & classification
Authorized official
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42602 | Other | - | DAVIS |
| CP2230-2 | Other | - | EYEMED |
| 35593 | Other | - | AVESIS |
| 014018 | Other | - | VIP |
| 13863 | Other | - | MEDICARE |
| 38706100 | Medicaid | WI | - |
| 410985054-4018 | 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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Where is Shopko Stores Operating Co. LLC located?
Providers at this address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-11.