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

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: July 19, 2026.

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

Reviews for SHOPKO OPTICAL 180

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
3271 MARKETPLACE DR
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 366-0377

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?

The NPI number assigned to this healthcare provider is 1366608440, enumerated as an "organization" on July 29, 2008.

Where is the provider located?

The provider is located at 3271 MARKETPLACE DR COUNCIL BLUFFS, IA 51501 and the phone number is (712) 366-0706.

What is the provider's specialty?

Eyewear Supplier with taxonomy code 332H00000X.

What insurance does SHOPKO STORES OPERATING CO LLC accept?

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