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Shopko Stores Operating Co. LLC

Eyewear Supplier in Monona, 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

1699727719

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co. LLC
Other name <Unavail>
Practice address 2101 W Broadway, Monona, WI, 53713
Phone (608) 222-9420
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
Phone (920) 429-4297

Other identifiers

Identifier Type State Issuer
35597 Other - AVESIS
38416300 Medicaid WI -
014032 Other - VIP
17668 Other - MEDICARE
410985054-4032 Other - NVA
42613 Other - DAVIS
CP2230-96 Other - EYEMED

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 Monona, WI.

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