SHOPKO OPTICAL 133
NPI 1437102001
Eyewear Supplier in Belvidere, IL

Active since May 17, 2006
1400 BIG THUNDER BLVD, BELVIDERE, IL 61008(815) 547-3456 Get Directions Write a Review

NPPES record last updated: June 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Optical 133 NPPES

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

SHOPKO OPTICAL 133 (NPI 1437102001) is a healthcare organization registered as an eyewear supplier in Belvidere, 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

NPI1437102001
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address1400 BIG THUNDER BLVDBelvidere, IL 61008-1726
Mailing Address1400 Big Thunder BlvdBelvidere, IL 61008-1726 · (815) 547-3456
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateJune 4, 2008
NPI 1437102001 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.
1400 BIG THUNDER BLVD, Belvidere, IL 61008

Other Names 1

Doing Business AsShopko Optical 133

Other Identifiers 10

Other5232016IL · Bcbs Il
Other17685Medicare
Medicare NSC5695760137
Other014133Vip
Other35452Avesis
Medicare ID-Type Unspecified0154160232
OtherCP2230-12Eyemed
Medicare PIN213638
Other42552Davis
Medicare PINDF0851

Other Providers at the Same Location NPPES

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

Pharmacy (Community/Retail Pharmacy)
1400 BIG THUNDER BLVD
BELVIDERE, IL 61008

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 1437102001. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 133.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 1400 Big Thunder Blvd, Belvidere, IL 61008. The listed phone number is (815) 547-3456.

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.