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SHOPKO OPTICAL 038
NPI 1164474698
Eyewear Supplier in Grand Island, NE

Active since May 16, 2006
2208 N WEBB RD, GRAND ISLAND, NE 68803(308) 382-7661 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Optical 038 NPPES

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

SHOPKO OPTICAL 038 (NPI 1164474698) is a healthcare organization registered as an eyewear supplier in Grand Island, Nebraska 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

NPI1164474698
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address2208 N WEBB RDGrand Island, NE 68803-1739
Mailing Address2208 N Webb RdGrand Island, NE 68803-1739 · (308) 382-7661
Phone(308) 382-7661
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1164474698 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.
2208 N WEBB RD, Grand Island, NE 68803
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Other Names 1

Doing Business AsShopko Optical 038

Other Identifiers 12

Other914651Block
Other099548Medicare
Medicare PIN099830NE
Medicare PINDF0848
Other014038Vip
Medicare ID-Type Unspecified1111590014
Medicare NSC5695760065NE
Other35496Avesis
Medicaid10025074000NE
Other17882Medicare
Other35858Davis
Other213121-23Eyemed

Other Providers at the Same Location NPPES 5

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

DANI HASTINGS
Technician (Personal Care Attendant)
2208 N WEBB RD
GRAND ISLAND, NE 68803
Hall County (308) 381-1690
WILLIAM R ZEIGLER OD
Optometrist
2208 N WEBB RD
GRAND ISLAND, NE 68803
Hall County (308) 382-7661
WILLIAM MEADE GLASSBRENNER OD
Optometrist
2208 N WEBB RD
GRAND ISLAND, NE 68803
Hall County (308) 382-7661
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
2208 N WEBB RD
GRAND ISLAND, NE 68803
Hall County (308) 382-6744
DAWN R HINRICHS LPN
Licensed Practical Nurse
2208 N WEBB RD
GRAND ISLAND, NE 68803
Hall County (402) 235-8287

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 1164474698. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Shopko Optical 038.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 2208 N Webb Rd, Grand Island, NE 68803. The listed phone number is (308) 382-7661.

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 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.