SHOPKO OPTICAL 078
NPI 1306899174
Eyewear Supplier in Rapid City, SD

NPI Status: Active since May 19, 2006

Contact Information

1845 HAINES AVE
RAPID CITY, SD
ZIP 57701
Phone: (605) 342-0354

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  • Organization
  • Eyewear Supplier

About SHOPKO OPTICAL 078

This page provides the complete NPI Profile along with additional information for Shopko Optical 078, a provider established in Rapid City, South Dakota operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1306899174 assigned on May 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Shopko Optical 078. The authorized official of this NPI record is Michael J Bettiga Rph (Sr. Vice President Health Services)

NPI
1306899174
Provider Legal Name
SHOPKO STORES OPERATING CO. LLC
Other Organization Name
SHOPKO OPTICAL 078
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1845 HAINES AVE RAPID CITY, SD 57701
Location Phone
(605) 342-0354
Mailing Address
1845 HAINES AVE RAPID CITY, SD 57701
Mailing Phone
(605) 342-0354
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2006
Last Update Date
02-11-2008
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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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MICHAEL J BETTIGA RPH

Authorized Official Title
SR. VICE PRESIDENT HEALTH SERVICES
Authorized Official Phone
(920) 429-4297

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DF0754MEDICARE PIN (08) 
0154160065MEDICARE ID-TYPE UNSPECIFIED (04) 
CP2230-37OTHER (01)EYEMED
5695760048MEDICARE NSC (07)SD 
17914OTHER (01)MEDICARE
014078OTHER (01)VIP
35518OTHER (01)AVESIS
S101047MEDICARE PIN (08)SD 

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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 1306899174, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 0 → 0 8 → 16 → 7 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 1 + 6 + 9 + 1 + 8 + 1 + 1 + 4 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1306899174.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Optometrist
1845 HAINES AVE
RAPID CITY, SD 57701
Pharmacy (Community/Retail Pharmacy)
1845 HAINES AVE
RAPID CITY, SD 57701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306899174, enumerated as an "organization" on May 19, 2006.

The provider is located at 1845 HAINES AVE RAPID CITY, SD 57701 and the phone number is (605) 342-0354.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.