SHOPKO OPTICAL 4066
NPI 1154987535
Eyewear Supplier in Spokane, WA

Active since May 11, 2019
9326 N DIVISION ST, SPOKANE, WA 99218(509) 466-7136 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 23, 2019, May 11, 2019 (2 updates tracked since 2019).

About Shopko Optical 4066 NPPES

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

SHOPKO OPTICAL 4066 (NPI 1154987535) is a healthcare organization registered as an eyewear supplier in Spokane, Washington and active in the NPI registry since May 2019. The organization lists Russ Steinhorst, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1154987535
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPTIKAL LLC
Location Address9326 N DIVISION STSpokane, WA 99218-1227
Mailing AddressPo Box 19060Green Bay, WI 54307-9060
Organization SubpartNo
Authorized OfficialRuss SteinhorstEvp & Cfo · (920) 429-7842
Enumeration DateMay 11, 2019
Last NPPES UpdateNovember 29, 20242 updates tracked since enumeration
NPPES CertifiedNovember 29, 2024
✔ NPI 1154987535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedOptometristTaxonomy 152W00000X
9326 N DIVISION ST, Spokane, WA 99218

Other Names 1

Doing Business AsShopko Optical 4066

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 4066 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Shopko Optical 4066, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Optometry
NPI 1225080070
9520 N NEWPORT HWY
Spokane, WA 99218
(509) 466-6871
✔ PECOS✔ Accepts Medicare0.4 mi
Optometry
NPI 1528010121
1450 S GRAND AVE
Pullman, WA 99163
(509) 332-0820
✔ PECOS✔ Accepts Medicare72 mi
Optometry
NPI 1649429788
900 AARON DR APT 121
Richland, WA 99352
(509) 371-9012
✔ PECOS✔ Accepts Medicare135 mi
Optometry
NPI 1780912170
27101 PIONEER HWY
Stanwood, WA 98292
(360) 629-9535
✔ PECOS✔ Accepts Medicare231 mi
Optometry
NPI 1821253964
26 ROLLING HILLS DR
Nesconset, NY 11767
(631) 265-6069
✔ PECOS✔ Accepts Medicare2,215 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 Shoptikal LLC's NPI number?

The NPI number for Shoptikal LLC is 1154987535. It was assigned to this organization in the NPPES registry on May 11, 2019. The provider is doing business as Shopko Optical 4066.

Where is Shoptikal LLC located?

Shoptikal LLC is located at 9326 N Division St, Spokane, WA 99218. The listed phone number is (509) 466-7136.

What is Shoptikal LLC's specialty?

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

Is Shoptikal LLC enrolled in Medicare?

Yes. Shoptikal LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shoptikal LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Shoptikal 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.

What insurance does Shoptikal LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Premera Blue Cross Blue Shield of Alaska list Shoptikal LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shoptikal LLC was last updated on November 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.