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SHOPKO OPTICAL 4126
NPI 1821654237
Eyewear Supplier in Mequon, WI

Active since May 13, 2019
10996 N PORT WASHINGTON RD, MEQUON, WI 53092(262) 240-9870 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shopko Optical 4126 NPPES

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

SHOPKO OPTICAL 4126 (NPI 1821654237) is a healthcare organization registered as an eyewear supplier in Mequon, Wisconsin and active in the NPI registry since May 2019. The organization lists Russell Steinhorst, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1821654237
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPTIKAL LLC
Location Address10996 N PORT WASHINGTON RDMequon, WI 53092-5031
Mailing AddressPo Box 19060Green Bay, WI 54307-9060
Phone(262) 240-9870
Organization SubpartNo
Authorized OfficialRussell SteinhorstEvp & Cfo · (920) 429-7489
Enumeration DateMay 13, 2019
Last NPPES UpdateNovember 29, 2024
NPPES CertifiedNovember 29, 2024
✔ NPI 1821654237 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
10996 N PORT WASHINGTON RD, Mequon, WI 53092
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Other Names 1

Doing Business AsShopko Optical 4126

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shopko Optical 4126 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

187

Medicare enrollment records show 187 clinicians reassign Medicare billing to Shopko Optical 4126, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 187
Pranaya Bista
Optometry
NPI 1124792411
10996 N PORT WASHINGTON RD
Mequon, WI 53092
(262) 240-9870
✔ PECOS1.4 mi
Stephanie Engebretson, OD
Optometry
NPI 1205451762
N54W6135 MILL ST
Cedarburg, WI 53012
(262) 421-4412
✔ PECOS✔ Accepts Medicare6.2 mi
Lawrence Smith, OD
Optometry
NPI 1609828581
5684 N. CENTER PARK WAY BAYSHORE TOWN CENTER
Glendale, WI 53217
(414) 962-2021
✔ PECOS✔ Accepts Medicare6.7 mi
Lance Engdahl, OD
Optometry
NPI 1689730681
7425 W. APPLETON AVENUE
Milwaukee, WI 53216
(414) 464-5440
✔ PECOS✔ Accepts Medicare9.7 mi
Matthew Schuller, OD
Optometry
NPI 1710045927
3720 N 124TH ST SUITE F
Wauwatosa, WI 53222
(414) 535-8134
✔ PECOS✔ Accepts Medicare12 mi
Jessica Smith, OD
Optometry
NPI 1922537653
200 S EXECUTIVE DR STE 101
Brookfield, WI 53005
(888) 964-6681
✔ PECOS✔ Accepts Medicare16 mi
Noel Arackal, OD
Optometry
NPI 1477179349
W248N5233 EXECUTIVE DR UNIT 200
Sussex, WI 53089
(262) 304-0080
✔ PECOS✔ Accepts Medicare18 mi
Nicole Avgoulas, OD
Optometry
NPI 1831714120
W248N5233 EXECUTIVE DR UNIT 200
Sussex, WI 53089
(262) 304-0080
✔ PECOS✔ Accepts Medicare18 mi
Kristen Dorman, O.D.
Optometry
NPI 1609833110
120 MARTIN DR
Fredonia, WI 53021
(262) 692-9000
✔ PECOS✔ Accepts Medicare18 mi
Haley Brown, OD
Optometry
NPI 1346868809
1745 S MAIN ST UNIT 7
West Bend, WI 53095
(262) 334-7077
✔ PECOS✔ Accepts Medicare18 mi
Zachary Shriver, OD
Optometry
NPI 1841852464
1440 CAPITOL DR
Pewaukee, WI 53072
(262) 820-2656
✔ PECOS✔ Accepts Medicare18 mi
Paul Kappell, O.D.
Optometry
NPI 1376783621
425A E WASHINGTON ST
Slinger, WI 53086
(920) 257-3599
✔ PECOS✔ Accepts Medicare19 mi
Heidi Przislicki, OD
Optometry
NPI 1558921197
5722 S 108TH ST
Hales Corners, WI 53130
(414) 786-2941
✔ PECOS✔ Accepts Medicare20 mi
Kristie Yeager, O.D.
Optometry
NPI 1134209679
825 W. MORELAND BOULEVARD
Waukesha, WI 53188
(414) 542-9610
✔ PECOS✔ Accepts Medicare21 mi
James Dusenberry, O.D.
Optometry
NPI 1871539619
825 W MORELAND BLVD
Waukesha, WI 53188
(262) 542-9610
✔ PECOS✔ Accepts Medicare21 mi
Nicole Amidon, O.D.
Optometry
NPI 1992762835
1595 E SUMNER ST STE 108
Hartford, WI 53027
(262) 709-8211
✔ PECOS✔ Accepts Medicare23 mi
Robert Meyer, OD
Optometry
NPI 1942721204
3228 TURNBERRY OAK DR STE 200
Waukesha, WI 53188
(262) 542-7113
✔ PECOS✔ Accepts Medicare23 mi
Bryce Boente, OD
Optometry
NPI 1619604972
1166 W SUNSET DR
Waukesha, WI 53189
(262) 574-9410
✔ PECOS✔ Accepts Medicare23 mi
Heidi Shufelt, OD
Optometry
NPI 1447200456
4801 WASHINGTON AVE
Racine, WI 53406
(262) 637-3733
✔ PECOS✔ Accepts Medicare35 mi
Mikolaj Nowobilski, OD
Optometry
NPI 1285319020
2860 S GREEN BAY RD
Mt Pleasant, WI 53406
(262) 637-3733
✔ PECOS✔ Accepts Medicare36 mi
See all 187 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1821654237. It was assigned to this organization in the NPPES registry on May 13, 2019. The provider is doing business as Shopko Optical 4126.

Where is Shoptikal LLC located?

Shoptikal LLC is located at 10996 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (262) 240-9870.

What is Shoptikal LLC's specialty?

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

Is Shoptikal LLC enrolled in Medicare?

Yes. Shoptikal LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shoptikal LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 187 clinicians, all in Optometry, reassign their Medicare billing to Shoptikal LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shoptikal LLC accept?

Health plans from Anthem Blue Cross and Blue Shield 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 22 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.