SHOPKO OPTICAL 046
NPI 1518919786
Eyewear Supplier in Omaha, NE

Active since May 16, 2006
5646 N 90TH ST, OMAHA, NE 68134(402) 572-1604 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Optical 046 NPPES

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

SHOPKO OPTICAL 046 (NPI 1518919786) is a healthcare organization registered as an eyewear supplier in Omaha, 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

NPI1518919786
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address5646 N 90TH STOmaha, NE 68134-1808
Mailing Address5646 N 90th StOmaha, NE 68134-1808 · (402) 572-1604
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 11, 2008
NPI 1518919786 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.
5646 N 90TH ST, Omaha, NE 68134

Other Names 1

Doing Business AsShopko Optical 046

Other Identifiers 12

Medicare NSC5695760088NE
Other268733Medicare
Other17886Medicare
Medicare ID-Type Unspecified0154160168
Other014046Vip
Other35505Avesis
Medicaid41098505412NE
Medicare PINDF0848
Other007120Block
OtherCP2230-32Eyemed
Other35862Davis
Medicare PIN099830NE

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.

Pharmacist
5646 N 90TH ST
OMAHA, NE 68134
Pharmacy (Community/Retail Pharmacy)
5646 N 90TH ST
OMAHA, NE 68134

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 1518919786. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Shopko Optical 046.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 5646 N 90th St, Omaha, NE 68134. The listed phone number is (402) 572-1604.

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.