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SHOPKO OPTICAL 150
NPI 1760435333
Eyewear Supplier in Springfield, IL

Active since May 18, 2006
1/5
Overall Rating
3030 WABASH AVE, SPRINGFIELD, IL 62704(217) 698-9721 Get Directions Write a Review

NPPES record last updated: January 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Optical 150 NPPES

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

SHOPKO OPTICAL 150 (NPI 1760435333) is a healthcare organization registered as an eyewear supplier in Springfield, Illinois 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

NPI1760435333
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address3030 WABASH AVESpringfield, IL 62704-6413
Mailing Address3030 Wabash AveSpringfield, IL 62704-6413 · (217) 698-9721
Phone(217) 698-9721
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 18, 2006
Last NPPES UpdateJanuary 30, 2008
✔ NPI 1760435333 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.
3030 WABASH AVE, Springfield, IL 62704
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Other Names 1

Doing Business AsShopko Optical 150

Other Identifiers 8

Medicare NSC5695760135
Medicare PINDF0851
Medicare ID-Type Unspecified1249550005
Medicare PIN213638
Other014150Vip
Other42563Davis
Other17688Medicare
OtherCP2521-6Eyemed

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Avenues At Springfield (CMS certification number 14E847), from CMS Care Compare.

Avenues At Springfield

Nursing home · Springfield, IL
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number14E847
Certified Beds65 beds61 residents per day on average
Medicare & Medicaid Participant SinceAugust 21, 1986
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
140
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.2 · LPN 0.4 · RN 0.24
1.83 hrs per resident per day
Weekend Nurse Staffing
1.45 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
51.4%
Registered Nurse Turnover
87.5%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
24
Fines
1 totaling $66,000.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

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

SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
3030 WABASH AVE
SPRINGFIELD, IL 62704
Sangamon County (217) 698-9614

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 1760435333. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Optical 150.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 3030 Wabash Ave, Springfield, IL 62704. The listed phone number is (217) 698-9721.

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

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

Is Shopko Stores Operating Co. LLC a Medicare-certified nursing home?

Yes. Avenues At Springfield is a Medicare-certified nursing home with 65 certified beds.

What quality rating does Shopko Stores Operating Co. LLC have?

CMS rates Avenues At Springfield 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating Co. LLC was last updated on January 30, 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.