SHOPKO OPTICAL 4240
NPI 1215528138
Eyewear Supplier in Centerville, UT
NPI Status: Active since February 02, 2021
Contact Information
331 W PARRISH LN STE 104
CENTERVILLE, UT
ZIP 84014
Phone: (385) 330-2211
- Organization
- Eyewear Supplier
About SHOPKO OPTICAL 4240
This page provides the complete NPI Profile along with additional information for Shopko Optical 4240, a provider established in Centerville, Utah operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1215528138 assigned on February 2021. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Shopko Optical 4240. The authorized official of this NPI record is Russell Steinhorst (Evp & Cfo)
- NPI
- 1215528138
- Provider Legal Name
- SHOPTIKAL LLC
- Other Organization Name
- SHOPKO OPTICAL 4240
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 331 W PARRISH LN STE 104 CENTERVILLE, UT 84014
- Location Phone
- (385) 330-2211
- Mailing Address
- PO BOX 19060 GREEN BAY, WI 54307
- Mailing Phone
- (920) 429-7842
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-02-2021
- Last Update Date
- 11-29-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 5 | 2 | 8 | 1 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 10 | 2 | 16 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 1 + 0 + 2 + 1 + 6 + 1 + 6 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1215528138 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215528138, enumerated as an "organization" on February 02, 2021.
The provider is located at 331 W PARRISH LN STE 104 CENTERVILLE, UT 84014 and the phone number is (385) 330-2211.
Eyewear Supplier with taxonomy code 332H00000X.
