SHOPKO OPTICAL 164
NPI 1518910140
Eyewear Supplier in Dubuque, IA

Active since May 17, 2006
255 JOHN F KENNEDY RD, DUBUQUE, IA 52002(563) 583-5895 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Optical 164 NPPES

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

SHOPKO OPTICAL 164 (NPI 1518910140) is a healthcare organization registered as an eyewear supplier in Dubuque, Iowa 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

NPI1518910140
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address255 JOHN F KENNEDY RDDubuque, IA 52002-5313
Mailing Address255 John F Kennedy RdDubuque, IA 52002-5313 · (563) 583-5895
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 11, 2008
NPI 1518910140 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.
255 JOHN F KENNEDY RD, Dubuque, IA 52002

Other Names 1

Doing Business AsShopko Optical 164

Other Identifiers 10

Medicare PINDF0755
Medicaid025-6347IA
Other014164Vip
OtherOP1541Eyemed
Other17711Medicare
Medicare ID-Type Unspecified0154160275
Medicare NSC5695760118IA
Other35437Avesis
Other70091Medicare
Medicare PINI17682IA

Accepted Insurance

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.

Pharmacy (Community/Retail Pharmacy)
255 JOHN F KENNEDY RD
DUBUQUE, IA 52002
Optometrist
255 JOHN F KENNEDY RD
DUBUQUE, IA 52002

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 1518910140. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Optical 164.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 255 John F Kennedy Rd, Dubuque, IA 52002. The listed phone number is (563) 583-5895.

What is Shopko Stores Operating Co. LLC's specialty?

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

What insurance does Shopko Stores Operating Co. LLC accept?

Health plans from Quartz list Shopko Stores Operating Co. LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.