SHOPKO OPTICAL 123
NPI 1073565594
Eyewear Supplier in Houghton, MI

Active since May 16, 2006
900 MEMORIAL RD, HOUGHTON, MI 49931(906) 487-9767 Get Directions Write a Review

NPPES record last updated: November 3, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Optical 123 NPPES

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

SHOPKO OPTICAL 123 (NPI 1073565594) is a healthcare organization registered as an eyewear supplier in Houghton, Michigan and active in the NPI registry since May 2006. The organization lists Russell Steinhorst, Svp Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1073565594
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address900 MEMORIAL RDHoughton, MI 49931-2481
Mailing Address900 Memorial RdHoughton, MI 49931-2481 · (906) 487-9767
Organization SubpartNo
Authorized OfficialRussell SteinhorstSvp Chief Financial Officer · (920) 429-7489
Enumeration DateMay 16, 2006
Last NPPES UpdateNovember 3, 2015
NPI 1073565594 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.

900 MEMORIAL RD, Houghton, MI 49931

Other Names 1

Doing Business AsShopko Optical 123

Other Identifiers 11

Other35463Avesis
Medicare NSC5695760049MI
Medicare PINDF0754
Other213121-10Eyemed
Other0P06340Medicare
Other17876Medicare
Medicare ID-Type Unspecified1111590050
Medicare PIN0P32290
Other42538Davis Vision
Other410985054-4123Nva
Other014123Vip

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
900 MEMORIAL RD
HOUGHTON, MI 49931

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 1073565594. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Shopko Optical 123.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 900 Memorial Rd, Houghton, MI 49931. The listed phone number is (906) 487-9767.

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

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

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating Co. LLC was last updated on November 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.