SHOPKO OPTICAL 153
NPI 1326090424
Eyewear Supplier in Springfield, IL

Q: What is Shopko Stores Operating Co. LLC's NPI number?

The NPI number for Shopko Stores Operating Co. LLC is 1326090424. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 153.

Q: What is Shopko Stores Operating Co. LLC's specialty?

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

Active since May 17, 2006

3001 S DIRKSEN PKWY, SPRINGFIELD, IL 62703(217) 585-8845 Get Directions Write a Review

NPPES record last updated: June 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shopko Optical 153 NPPES

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

SHOPKO OPTICAL 153 (NPI 1326090424) is a healthcare organization registered as an eyewear supplier in Springfield, 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

NPI1326090424

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameSHOPKO STORES OPERATING CO. LLC

Location Address3001 S DIRKSEN PKWYSpringfield, IL 62703-4502

Mailing Address3001 S Dirksen PkwySpringfield, IL 62703-4502 · (217) 585-8845

Phone(217) 585-8845

Organization SubpartNo

Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297

Enumeration DateMay 17, 2006

Last NPPES UpdateJune 4, 2008

✔ NPI 1326090424 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.

3001 S DIRKSEN PKWY, Springfield, IL 62703

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Other Names 1

Doing Business AsShopko Optical 153

Other Identifiers 9

Other17689Medicare

OtherCP2521-7Eyemed

Medicare ID-Type Unspecified1249550004

Other42564Davis

Medicare PINDF0851

Other014153Vip

Medicare NSC5695760128

Other5232016IL · Bcbs Il

Medicare PIN213638

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 1326090424. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 153.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 3001 S Dirksen Pkwy, Springfield, IL 62703. The listed phone number is (217) 585-8845.

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.