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SHOPKO OPTICAL 053
NPI 1336191501
Eyewear Supplier in North Platte, NE

Active since May 16, 2006
510 E PHILIP AVE, NORTH PLATTE, NE 69101(308) 534-7271 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Optical 053 NPPES

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

SHOPKO OPTICAL 053 (NPI 1336191501) is a healthcare organization registered as an eyewear supplier in North Platte, Nebraska 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

NPI1336191501
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address510 E PHILIP AVENorth Platte, NE 69101-5538
Mailing Address510 E Philip AveNorth Platte, NE 69101-5538 · (308) 534-7271
Phone(308) 534-7271
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1336191501 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.
510 E PHILIP AVE, North Platte, NE 69101
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Other Names 1

Doing Business AsShopko Optical 053

Other Identifiers 12

Other35865Davis
Other096219Medicare
OtherCP2230-29Eyemed
Medicare ID-Type Unspecified0154160089
Medicaid41098505403NE
Medicare NSC5695760062NE
Other17889Medicare
Other007127Block
Medicare PINDF0848
Other014053Vip
Other35502Avesis
Medicare PIN099830NE

Other Providers at the Same Location NPPES 4

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

MR. KARL THOMAS JEPSON O.D.
Optometrist
510 E PHILIP AVE
NORTH PLATTE, NE 69101
Lincoln County (308) 534-2441
DR. JASON L HAWLEY O.D.
Optometrist
510 E PHILIP AVE
NORTH PLATTE, NE 69101
Lincoln County (308) 534-7271
DR. JOHN L DORWART O.D.
Optometrist
510 E PHILIP AVE
NORTH PLATTE, NE 69101
Lincoln County (308) 534-7272
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
510 E PHILIP AVE
NORTH PLATTE, NE 69101
Lincoln County (308) 534-7353

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 1336191501. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Shopko Optical 053.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 510 E Philip Ave, North Platte, NE 69101. The listed phone number is (308) 534-7271.

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 February 11, 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.