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SHOPKO OPTICAL 4004
NPI 1710543228
Eyewear Supplier in Green Bay, WI

Active since May 10, 2019
2360 COSTCO WAY STE 120, GREEN BAY, WI 54311(920) 468-4642 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2019, May 10, 2019 (2 updates tracked since 2019).

About Shopko Optical 4004 NPPES

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

SHOPKO OPTICAL 4004 (NPI 1710543228) is a healthcare organization registered as an eyewear supplier in Green Bay, Wisconsin and active in the NPI registry since May 2019. The organization lists Russell Steinhorst, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1710543228
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPTIKAL LLC
Location Address2360 COSTCO WAY STE 120Green Bay, WI 54311-9210
Mailing AddressPo Box 19060Green Bay, WI 54307-9060
Phone(920) 468-4642
Organization SubpartNo
Authorized OfficialRussell SteinhorstEvp & Cfo · (920) 429-7489
Enumeration DateMay 10, 2019
Last NPPES UpdateNovember 29, 20242 updates tracked since enumeration
NPPES CertifiedNovember 29, 2024
✔ NPI 1710543228 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
2360 COSTCO WAY STE 120, Green Bay, WI 54311
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Other Names 1

Doing Business AsShopko Optical 4004

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

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 1710543228. It was assigned to this organization in the NPPES registry on May 10, 2019. The provider is doing business as Shopko Optical 4004.

Where is Shoptikal LLC located?

Shoptikal LLC is located at 2360 Costco Way Ste 120, Green Bay, WI 54311. The listed phone number is (920) 468-4642.

What is Shoptikal LLC's specialty?

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

What insurance does Shoptikal LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and HealthPartners and 2 other insurers list Shoptikal 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 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 20 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.