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Shopko Stores Operating Co. LLC

Eyewear Supplier in River Falls, 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

1508819137

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co. LLC
Other name <Unavail>
Practice address 1777 Paulson Rd, River Falls, WI, 54022
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
000087130 Other - MEDICARE
32682 Medicaid WI -
410985054-4130 Other - NVA
CP2230-88 Other - EYEMED
2100691 Medicaid WI -
4C079SH Medicaid WI -
014130 Other - VIP
38449800 Medicaid WI -
42550 Other - DAVIS
4C080SH Medicaid WI -
17664 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

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.
Where is Shopko Stores Operating Co. LLC located?
The practice location on file with NPPES is in River Falls, WI.

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