SHOPKO OPTICAL 141
NPI 1083667406
Eyewear Supplier in Burlington, IA

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

The NPI number for Shopko Stores Operating Co. LLC is 1083667406. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Optical 141.

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

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

Active since May 18, 2006

313 N ROOSEVELT AVE, BURLINGTON, IA 52601(319) 758-9145 Get Directions Write a Review

NPPES record last updated: January 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shopko Optical 141 NPPES

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

SHOPKO OPTICAL 141 (NPI 1083667406) is a healthcare organization registered as an eyewear supplier in Burlington, Iowa 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

NPI1083667406

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameSHOPKO STORES OPERATING CO. LLC

Location Address313 N ROOSEVELT AVEBurlington, IA 52601-1757

Mailing Address313 N Roosevelt AveBurlington, IA 52601-1757 · (319) 758-9145

Phone(319) 758-9145

Organization SubpartNo

Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297

Enumeration DateMay 18, 2006

Last NPPES UpdateJanuary 30, 2008

✔ NPI 1083667406 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.

313 N ROOSEVELT AVE, Burlington, IA 52601

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Other Names 1

Doing Business AsShopko Optical 141

Other Identifiers 9

Medicare NSC5695760073

Medicare PINDF0755

Medicare PINI17682IA

Other35436Avesis

OtherCP2521-1Eyemed

Other014141Vip

Other17698Medicare

Medicare ID-Type Unspecified1249550006

OtherI3516Medicare

Other Providers at the Same Location NPPES 2

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

SHOPKO STORES OPERATING CO LLC

Pharmacy (Community/Retail Pharmacy)

313 N ROOSEVELT AVE
BURLINGTON, IA 52601

Des Moines County (319) 758-9526

DR. BENJAMIN TATSUNORI IWAI O.D.

Optometrist

313 N ROOSEVELT AVE
BURLINGTON, IA 52601

Des Moines County (319) 758-9145

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 1083667406. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Optical 141.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 313 N Roosevelt Ave, Burlington, IA 52601. The listed phone number is (319) 758-9145.

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 January 30, 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.