SHOPKO OPTICAL 180
NPI 1366608440
Eyewear Supplier in Council Bluffs, IA

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

The NPI number for Shopko Stores Operating Co LLC is 1366608440. It was assigned to this organization in the NPPES registry on July 29, 2008. The provider is doing business as Shopko Optical 180.

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 July 29, 2008

3271 MARKETPLACE DR, COUNCIL BLUFFS, IA 51501(712) 366-0706(712) 366-9020 Get Directions Write a Review

NPPES record last updated: August 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shopko Optical 180 NPPES

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

SHOPKO OPTICAL 180 (NPI 1366608440) is a healthcare organization registered as an eyewear supplier in Council Bluffs, Iowa and active in the NPI registry since July 2008. The organization lists Michael Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1366608440

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameSHOPKO STORES OPERATING CO LLC

Location Address3271 MARKETPLACE DRCouncil Bluffs, IA 51501-7908

Mailing Address3271 Marketplace DrCouncil Bluffs, IA 51501-7908 · (712) 366-0706 · Fax (712) 366-9020

Phone(712) 366-0706

Fax(712) 366-9020

Organization SubpartNo

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

Enumeration DateJuly 29, 2008

Last NPPES UpdateAugust 24, 2009

✔ NPI 1366608440 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.

3271 MARKETPLACE DR, Council Bluffs, IA 51501

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Other Names 1

Doing Business AsShopko Optical 180

Other Identifiers 8

Other135093Vip

Medicare PINI17682003IA

Other1366608440Wellmark Bcbs Ia

Other62213Spectera

Other51451Avesis

Medicare NSC5695760145

Medicare PINIB1322

OtherA00793Eyemed

Other Providers at the Same Location NPPES

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

SHOPKO STORES OPERATING CO LLC

Pharmacy (Community/Retail Pharmacy)

3271 MARKETPLACE DR
COUNCIL BLUFFS, IA 51501

Pottawattamie County (712) 366-0377

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 1366608440. It was assigned to this organization in the NPPES registry on July 29, 2008. The provider is doing business as Shopko Optical 180.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 3271 Marketplace Dr, Council Bluffs, IA 51501. The listed phone number is (712) 366-0706.

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 August 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.