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SHOPKO OPTICAL 4050
NPI 1205492675
Eyewear Supplier in Fond Du Lac, WI

Active since May 11, 2019
N6663 ROLLING MEADOWS DR STE I, FOND DU LAC, WI 54937(920) 921-8290 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 16, 2019, Nov 20, 2019, May 11, 2019 (3 updates tracked since 2019).

About Shopko Optical 4050 NPPES

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

SHOPKO OPTICAL 4050 (NPI 1205492675) is a healthcare organization registered as an eyewear supplier in Fond Du Lac, Wisconsin and active in the NPI registry since May 2019. The organization lists Russell Steinhorst, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1205492675
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPTIKAL LLC
Location AddressN6663 ROLLING MEADOWS DR STE IFond Du Lac, WI 54937-9501
Mailing AddressPo Box 19060Green Bay, WI 54307-9060
Phone(920) 921-8290
Organization SubpartNo
Authorized OfficialRussell SteinhorstEvp & Cfo · (920) 429-7489
Enumeration DateMay 11, 2019
Last NPPES UpdateNovember 29, 20243 updates tracked since enumeration
NPPES CertifiedNovember 29, 2024
✔ NPI 1205492675 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
N6663 ROLLING MEADOWS DR STE I, Fond Du Lac, WI 54937
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Other Names 1

Doing Business AsShopko Optical 4050

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. AMBER NICOLE DENELL OD
Optometrist
N6663 ROLLING MEADOWS DR STE I
FOND DU LAC, WI 54937
Fond Du Lac County (920) 921-8290

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 1205492675. It was assigned to this organization in the NPPES registry on May 11, 2019. The provider is doing business as Shopko Optical 4050.

Where is Shoptikal LLC located?

Shoptikal LLC is located at N6663 Rolling Meadows Dr Ste I, Fond Du Lac, WI 54937. The listed phone number is (920) 921-8290.

What is Shoptikal LLC's specialty?

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

What insurance does Shoptikal LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and HealthPartners and 2 other insurers 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 with the weekly NPPES data releases published by CMS.