SHOPKO OPTICAL 609
NPI 1285912535
Eyewear Supplier in Keil, WI

NPI Status: Active since August 03, 2011

Contact Information

1120 STATE ROAD 67
KEIL, WI
ZIP 53042
Phone: (920) 894-3604

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  • Organization
  • Eyewear Supplier

About SHOPKO OPTICAL 609

This page provides the complete NPI Profile along with additional information for Shopko Optical 609, a provider established in Keil, Wisconsin operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1285912535 assigned on August 2011. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Shopko Optical 609. The authorized official of this NPI record is Mr. Michael Bettiga Rph (Executive Vice President & Coo)

NPI
1285912535
Provider Legal Name
SHOPKO STORES OPERATING CO LLC
Other Organization Name
SHOPKO OPTICAL 609
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1120 STATE ROAD 67 KEIL, WI 53042
Location Phone
(920) 894-3604
Mailing Address
1120 STATE ROAD 67 KEIL, WI 53042
Mailing Phone
(920) 894-3604
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-03-2011
Last Update Date
11-03-2011
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL BETTIGA RPH

Authorized Official Title
EXECUTIVE VICE PRESIDENT & COO
Authorized Official Phone
(920) 429-4297

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285912535, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 1 + 8 + 1 + 4 + 5 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1285912535.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
1120 STATE ROAD 67
KIEL, WI 53042
Pharmacist
1120 STATE ROAD 67
KIEL, WI 53042
Pharmacist
1120 STATE ROAD 67
KIEL, WI 53042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285912535, enumerated as an "organization" on August 03, 2011.

The provider is located at 1120 STATE ROAD 67 KEIL, WI 53042 and the phone number is (920) 894-3604.

Eyewear Supplier with taxonomy code 332H00000X.