Shopko Optical Manufacturing Llc
Eyewear Supplier (equipment, Not The Service)
1450 W Main Ave, De Pere
Wisconsin, 54115-9369
920-429-7253 Shopko Optical Manufacturing Llc is a Eyewear Supplier (equipment, Not The Service) in De Pere, Wisconsin. It is located at 1450 W Main Ave, De Pere and it's customer support contact number is 920-429-7253. The authorized person of Shopko Optical Manufacturing Llc is Mr. Michael Bettiga, RPH who is Sr. Vice President Health Services of this DME and his contact number is 920-429-4297.
Shopko Optical Manufacturing Llc is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
DME Supplier Details:
Shopko Optical Manufacturing Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Shopko Optical Manufacturing Llc |
| Type: | Eyewear Supplier (equipment, Not The Service) |
| Location: | 1450 W Main Ave, De Pere,
Wisconsin, 54115-9369 |
| Phone: | 920-429-7253 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Michael Bettiga |
| Credentials: | RPH |
| Position: | Sr. Vice President Health Services |
| Contact Number: | 920-429-4297 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1821243650 |
| NPI Enumeration Date: | 20 Nov, 2008 |
| NPI Last Update On: | 24 Feb, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shopko Optical Manufacturing Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Eyewear Supplier (equipment, Not The Service) | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 38456800 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1450 W Main Ave,
De Pere, Wisconsin |
| Zip: | 54115-9369 |
| Phone Number: | 920-429-7179 |
Patients can reach Shopko Optical Manufacturing Llc at
1450 W Main Ave, De Pere, Wisconsin or can
call on customer care at 920-429-7253.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.