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SHOPKO OPTICAL 039
NPI 1396797544
Eyewear Supplier in Lincoln, NE

Active since May 16, 2006
4200 S 27TH ST, LINCOLN, NE 68502(402) 421-2555 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Optical 039 NPPES

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

SHOPKO OPTICAL 039 (NPI 1396797544) is a healthcare organization registered as an eyewear supplier in Lincoln, 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

NPI1396797544
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address4200 S 27TH STLincoln, NE 68502-5858
Mailing Address4200 S 27th StLincoln, NE 68502-5858 · (402) 421-2555
Phone(402) 421-2555
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1396797544 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.
4200 S 27TH ST, Lincoln, NE 68502
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Other Names 1

Doing Business AsShopko Optical 039

Other Identifiers 11

Medicaid10025073900NE
Other014039Vip
Medicare NSC5695760064NE
Other007121Block
Other35859Davis
Medicare PINDF0848
Medicare PIN099830NE
Other35497Avesis
Medicare ID-Type Unspecified1111590037
Other17883Medicare
Other213121-24Eyemed

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.

SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
4200 S 27TH ST
LINCOLN, NE 68502
Lancaster County (402) 421-2444
DR. ANTHONY JAMES MANTHEY O.D.
Optometrist
4200 S 27TH ST
LINCOLN, NE 68502
Lancaster County (402) 421-2555
SHOPTIKAL LLC
Eyewear Supplier
4200 S 27TH ST
LINCOLN, NE 68502
Lancaster County (402) 489-8897
SHOPTIKAL LLC
Eyewear Supplier
4200 S 27TH ST
LINCOLN, NE 68502
Lancaster County (402) 421-2555

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 1396797544. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Shopko Optical 039.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 4200 S 27th St, Lincoln, NE 68502. The listed phone number is (402) 421-2555.

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.