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SHOPKO OPTICAL 101
NPI 1033162805
Eyewear Supplier in Sioux Falls, SD

Active since May 19, 2006
4501 E ARROWHEAD PKWY, SIOUX FALLS, SD 57110(605) 335-8831 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shopko Optical 101 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOPKO OPTICAL 101 (NPI 1033162805) is a healthcare organization registered as an eyewear supplier in Sioux Falls, South Dakota and active in the NPI registry since May 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1033162805
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address4501 E ARROWHEAD PKWYSioux Falls, SD 57110-2701
Mailing Address4501 E Arrowhead PkwySioux Falls, SD 57110-2701 · (605) 335-8831
Phone(605) 335-8831
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1033162805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
4501 E ARROWHEAD PKWY, Sioux Falls, SD 57110
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Other Names 1

Doing Business AsShopko Optical 101

Other Identifiers 8

Other30673Avesis
Medicare ID-Type Unspecified0154160028
Medicare PINS101047SD
Other17915Medicare
Medicare PINDF0754
OtherCP2230-39Eyemed
Medicare NSC5695760042SD
Other014101Vip

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shopko Optical 101 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Shopko Optical 101, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Meghan Montreal Steinocker, O.D.
Optometry
NPI 1700174273
5012 S BUR OAK PL
Sioux Falls, SD 57108
(605) 338-3225
✔ PECOS✔ Accepts Medicare5.5 mi
Michael Johnson, O.D.
Optometry
NPI 1548204191
700 9TH AVE S
Watertown, SD 57201
(605) 882-9424
✔ PECOS✔ Accepts Medicare96 mi
Jason Lorenz, O.D.
Optometry
NPI 1619918216
500 N HWY 281
Aberdeen, SD 57401
(605) 225-7677
✔ PECOS✔ Accepts Medicare161 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shopko Stores Operating Co. LLC's NPI number?

The NPI number for Shopko Stores Operating Co. LLC is 1033162805. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Shopko Optical 101.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 4501 E Arrowhead Pkwy, Sioux Falls, SD 57110. The listed phone number is (605) 335-8831.

What is Shopko Stores Operating Co. LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Shopko Stores Operating Co. LLC enrolled in Medicare?

Yes. Shopko Stores Operating Co. LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shopko Stores Operating Co. LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Shopko Stores Operating Co. LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating Co. LLC was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.