Shopko Stores Operating Co. LLC
Shopko Stores Operating Co. LLC is a healthcare organization registered as Eyewear Supplier in Madison, WI, holding Type 2 (organization) NPI 1558314328 since 2006. The authorized official on file is Dilip Sedani, Vp.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558314328 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shopko Stores Operating Co. LLC |
| Other name | <Unavail> |
| Practice address | 2201 ZEIER RD, Madison, WI, 53704 |
| Phone | 6082462161 |
| Enumeration date | 2006-05-19 |
| Last updated in NPPES | 2018-09-02 |
Authorized official
| Name | Dilip Sedani |
|---|---|
| Title | Vp |
| Phone | 9204297688 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP2230-78 | Other | — | EYEMED |
| 42536 | Other | — | DAVIS |
| 000087921 | Other | — | MEDICARE |
| 014080 | Other | — | VIP |
| 410985054-4080 | Other | — | NVA |
| 38707300 | Medicaid | WI | — |
| 17657 | Other | — | MEDICARE |
| 35574 | Other | — | AVESIS |
Copy-ready billing details
Provider: Shopko Stores Operating Co. LLC NPI: 1558314328 Taxonomy: 332H00000X (Eyewear Supplier) Address: 2201 ZEIER RD, Madison, WI, 53704
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104877398 | Bret Ammeraal | Individual | Optometrist | Madison, WI |
| 1104872563 | Shopko Stores Operating Co LLC | Organization | Community/Retail Pharmacy | Madison, WI |
| 1659388478 | Leon Griffin | Individual | Optometrist | Madison, WI |
| 1134202096 | Lance Paulson | Individual | Pharmacist | Madison, WI |
| 1073942504 | Huan Hoang | Individual | Pharmacist | Madison, WI |
Verify this record
Cross-check NPI 1558314328 against the authoritative CMS record: view Shopko Stores Operating Co. LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Shopko Stores Operating Co. LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-09-02.