SHOPKO OPTICAL 045
NPI 1558313783
Eyewear Supplier in Bellevue, NE

Active since May 16, 2006
601 GALVIN RD S, BELLEVUE, NE 68005(402) 293-1840 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 045 NPPES

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

SHOPKO OPTICAL 045 (NPI 1558313783) is a healthcare organization registered as an eyewear supplier in Bellevue, 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

NPI1558313783
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address601 GALVIN RD SBellevue, NE 68005-2249
Mailing Address601 Galvin Rd SBellevue, NE 68005-2249 · (402) 293-1840
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 11, 2008
NPI 1558313783 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.

601 GALVIN RD S, Bellevue, NE 68005

Other Names 1

Doing Business AsShopko Optical 045

Other Identifiers 11

Other014045Vip
Other17885Medicare
Other35495Avesis
Medicaid10025073800NE
Other003340Block
Medicare NSC5695760117NE
Medicare PIN099830NE
Medicare PINDF0848
Other35861Davis
Other213121-22Eyemed
Medicare ID-Type Unspecified1111590010

Other Providers at the Same Location NPPES 3

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

Optometrist
601 GALVIN RD S
BELLEVUE, NE 68005
Pharmacy (Community/Retail Pharmacy)
601 GALVIN RD S
BELLEVUE, NE 68005
Optometrist
601 GALVIN RD S
BELLEVUE, NE 68005

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 1558313783. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Shopko Optical 045.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 601 Galvin Rd S, Bellevue, NE 68005. The listed phone number is (402) 293-1840.

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.