SHOPKO OPTICAL 4233
NPI 1194334979
Eyewear Supplier in Logan, UT

Active since July 28, 2020
1205 N MAIN ST, LOGAN, UT 84341(435) 554-1660 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shopko Optical 4233 NPPES

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

SHOPKO OPTICAL 4233 (NPI 1194334979) is a healthcare organization registered as an eyewear supplier in Logan, Utah and active in the NPI registry since July 2020. The organization lists Russell Steinhorst, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1194334979
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPTIKAL LLC
Location Address1205 N MAIN STLogan, UT 84341-2219
Mailing AddressPo Box 19060Green Bay, WI 54307-9060 · (920) 429-7842
Organization SubpartNo
Authorized OfficialRussell SteinhorstEvp & Cfo · (920) 429-7489
Enumeration DateJuly 28, 2020
Last NPPES UpdateNovember 29, 2024
NPPES CertifiedNovember 29, 2024
✔ NPI 1194334979 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
1205 N MAIN ST, Logan, UT 84341

Other Names 1

Doing Business AsShopko Optical 4233

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

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 4233 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Shopko Optical 4233, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Optometry
NPI 1386694677
747 S MAIN ST
Brigham City, UT 84302
(435) 723-1800
✔ PECOS20 mi
Optometry
NPI 1356851430
228 E 6400 S
Murray, UT 84107
(801) 263-9125
✔ PECOS75 mi
Optometry
NPI 1063462810
5800 S REDWOOD RD
Taylorsville, UT 84123
(801) 964-1300
✔ PECOS77 mi
Optometry
NPI 1184725632
11328 S JORDAN GTWY
South Jordan, UT 84095
(801) 571-1364
✔ PECOS✔ Accepts Medicare83 mi
Optometry
NPI 1689670861
HWY 371 JUNCTION HWY 57 RT 9
Crownpoint, NM 87313
(505) 786-5291
✔ PECOS✔ Accepts Medicare472 mi
Optometry
NPI 1184976425
510 E PHILIP AVE
North Platte, NE 69101
(308) 534-2441
✔ PECOS576 mi
Optometry
NPI 1770868820
615 MONROE AVE
Mason City, IA 50401
(641) 424-8271
✔ PECOS955 mi
Optometry
NPI 1669931077
3051 VALLEY AVE STE 102
Winchester, VA 22601
(540) 450-8504
✔ PECOS1,771 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 1194334979. It was assigned to this organization in the NPPES registry on July 28, 2020. The provider is doing business as Shopko Optical 4233.

Where is Shoptikal LLC located?

Shoptikal LLC is located at 1205 N Main St, Logan, UT 84341. The listed phone number is (435) 554-1660.

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), 8 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.