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SHOPKO OPTICAL 4140
NPI 1760048151
Eyewear Supplier in Jacksonville, IL

Active since May 12, 2019
1705 W MORTON AVE, JACKSONVILLE, IL 62650(217) 245-6070 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 16, 2019, Nov 20, 2019, May 12, 2019 (3 updates tracked since 2019).

About Shopko Optical 4140 NPPES

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

SHOPKO OPTICAL 4140 (NPI 1760048151) is a healthcare organization registered as an eyewear supplier in Jacksonville, Illinois and active in the NPI registry since May 2019. The organization lists Russell Steinhorst, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1760048151
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPTIKAL LLC
Location Address1705 W MORTON AVEJacksonville, IL 62650-2719
Mailing AddressPo Box 19060Green Bay, WI 54307-9060
Phone(217) 245-6070
Organization SubpartNo
Authorized OfficialRussell SteinhorstEvp & Cfo · (920) 429-7489
Enumeration DateMay 12, 2019
Last NPPES UpdateNovember 29, 20243 updates tracked since enumeration
NPPES CertifiedNovember 29, 2024
✔ NPI 1760048151 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
1705 W MORTON AVE, Jacksonville, IL 62650
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Other Names 1

Doing Business AsShopko Optical 4140

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

Other Providers at the Same Location NPPES

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

DR. WINONA MARIE VAN HOUTEN O.D.
Optometrist
1705 W MORTON AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-6070

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 1760048151. It was assigned to this organization in the NPPES registry on May 12, 2019. The provider is doing business as Shopko Optical 4140.

Where is Shoptikal LLC located?

Shoptikal LLC is located at 1705 W Morton Ave, Jacksonville, IL 62650. The listed phone number is (217) 245-6070.

What is Shoptikal 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 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.