SHOPKO OPTICAL 145
NPI 1295788842
Eyewear Supplier in Monmouth, IL

Active since May 17, 2006
1190 N 6TH ST, MONMOUTH, IL 61462(309) 734-7576 Get Directions Write a Review

NPPES record last updated: June 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Optical 145 NPPES

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

SHOPKO OPTICAL 145 (NPI 1295788842) is a healthcare organization registered as an eyewear supplier in Monmouth, Illinois 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

NPI1295788842
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address1190 N 6TH STMonmouth, IL 61462-9672
Mailing Address1190 N 6th StMonmouth, IL 61462-9672 · (309) 734-7576
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateJune 4, 2008
NPI 1295788842 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.
1190 N 6TH ST, Monmouth, IL 61462

Other Names 1

Doing Business AsShopko Optical 145

Other Identifiers 10

Medicare PINDF0851
Other014145Vip
Medicare ID-Type Unspecified0154160273
Medicare PIN213638
Other5232016IL · Bcbs Il
OtherCP2521-4Eyemed
Other17687Medicare
Medicare NSC5695760133
Other42562Davis
Other35457Avesis

Other Providers at the Same Location NPPES 2

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

Pharmacist
1190 N 6TH ST
MONMOUTH, IL 61462
Pharmacy (Community/Retail Pharmacy)
1190 N 6TH ST
MONMOUTH, IL 61462

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 1295788842. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 145.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 1190 N 6th St, Monmouth, IL 61462. The listed phone number is (309) 734-7576.

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 June 4, 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.