SHOPKO OPTICAL 4256
NPI 1518637610
Eyewear Supplier in Ankeny, IA

Active since September 20, 2021
110 N ANKENY BLVD STE 700, ANKENY, IA 50023(920) 429-2211 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shopko Optical 4256 NPPES

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

SHOPKO OPTICAL 4256 (NPI 1518637610) is a healthcare organization registered as an eyewear supplier in Ankeny, Iowa and active in the NPI registry since September 2021. The organization lists Russell Steinhorst, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1518637610
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPTIKAL LLC
Location Address110 N ANKENY BLVD STE 700Ankeny, IA 50023-1750
Mailing AddressPo Box 19060Green Bay, WI 54307-9060 · (920) 429-7842
Organization SubpartNo
Authorized OfficialRussell SteinhorstEvp & Cfo · (920) 429-7489
Enumeration DateSeptember 20, 2021
Last NPPES UpdateNovember 29, 2024
NPPES CertifiedNovember 29, 2024
✔ NPI 1518637610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedOptometristTaxonomy 152W00000X
110 N ANKENY BLVD STE 700, Ankeny, IA 50023

Other Names 1

Doing Business AsShopko Optical 4256

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shopko Optical 4256 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Shopko Optical 4256, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Optometry
NPI 1003460734
1805 SE DELAWARE AVE STE 900
Ankeny, IA 50021
(515) 333-5845
✔ PECOS✔ Accepts Medicare1.9 mi
Optometry
NPI 1053164525
315 E 5TH ST
Des Moines, IA 50309
(515) 282-5005
✔ PECOS✔ Accepts Medicare11 mi
Optometry
NPI 1770868820
615 MONROE AVE
Mason City, IA 50401
(641) 424-8271
✔ PECOS100 mi
Optometry
NPI 1043202922
615 S MONROE AVE SHOPKO EYECARE CENTER
Mason City, IA 50401
(641) 424-8271
✔ PECOS✔ Accepts Medicare100 mi
Optometry
NPI 1922140748
717 N 98TH ST
Omaha, NE 68114
(402) 399-2000
✔ PECOS✔ Accepts Medicare132 mi
Optometry
NPI 1235023409
2927 HAMILTON BLVD
Sioux City, IA 51104
(712) 255-5869
✔ PECOS✔ Accepts Medicare155 mi
Optometry
NPI 1801148143
3025 HAMILTON BLVD
Sioux City, IA 51104
(712) 255-5869
✔ PECOS✔ Accepts Medicare155 mi
Optometry
NPI 1609256627
255 JOHN F KENNEDY RD
Dubuque, IA 52002
(563) 583-5895
✔ PECOS✔ Accepts Medicare160 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shoptikal LLC's NPI number?

The NPI number for Shoptikal LLC is 1518637610. It was assigned to this organization in the NPPES registry on September 20, 2021. The provider is doing business as Shopko Optical 4256.

Where is Shoptikal LLC located?

Shoptikal LLC is located at 110 N Ankeny Blvd Ste 700, Ankeny, IA 50023. The listed phone number is (920) 429-2211.

What is Shoptikal LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Shoptikal LLC enrolled in Medicare?

Yes. Shoptikal LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shoptikal LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Optometry, reassign their Medicare billing to Shoptikal LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shoptikal LLC was last updated on November 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.