SHOPKO OPTICAL 047
NPI 1467404699
Eyewear Supplier in Lincoln, NE

Active since May 16, 2006
100 S 66TH ST, LINCOLN, NE 68510(402) 489-8897 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Optical 047 NPPES

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

SHOPKO OPTICAL 047 (NPI 1467404699) 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

NPI1467404699
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address100 S 66TH STLincoln, NE 68510-2301
Mailing Address100 S 66th StLincoln, NE 68510-2301 · (402) 489-8897
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 11, 2008
NPI 1467404699 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.

100 S 66TH ST, Lincoln, NE 68510

Other Names 1

Doing Business AsShopko Optical 047

Other Identifiers 10

Other17887Medicare
Other35863Davis
Medicare ID-Type Unspecified1111590019
Other213121-25Eyemed
Medicare PIN099830NE
Other35498Avesis
Medicare PINDF0848
Other014047Vip
Medicaid10025073700NE
Medicare NSC5695760127NE

Other Providers at the Same Location NPPES 2

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

Optometrist (Sports Vision)
100 S 66TH ST
LINCOLN, NE 68510
Pharmacy (Community/Retail Pharmacy)
100 S 66TH ST
LINCOLN, NE 68510

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 1467404699. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Shopko Optical 047.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 100 S 66th St, Lincoln, NE 68510. The listed phone number is (402) 489-8897.

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 with the weekly NPPES data releases published by CMS.