SHOPKO OPTICAL 076
NPI 1851344626
Eyewear Supplier in Sioux Falls, SD

Active since May 19, 2006
1601 W 41ST ST, SIOUX FALLS, SD 57105(605) 338-3225 Get Directions Write a Review

NPPES record last updated: August 28, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shopko Optical 076 NPPES

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

SHOPKO OPTICAL 076 (NPI 1851344626) is a healthcare organization registered as an eyewear supplier in Sioux Falls, South Dakota 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

NPI1851344626
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPKO STORES OPERATING CO. LLC
Location Address1601 W 41ST STSioux Falls, SD 57105-6371
Mailing Address1601 W 41st StSioux Falls, SD 57105-6371 · (605) 338-3225
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 28, 2008
NPI 1851344626 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.

1601 W 41ST ST, Sioux Falls, SD 57105

Other Names 1

Doing Business AsShopko Optical 076

Other Identifiers 9

Other4997995Wellmark
Other17913Medicare
Medicare PINDF0754
Other014076Vip
Other35520Avesis
Medicare ID-Type Unspecified0154160064
Medicare PINS101047SD
OtherCP2230-38Eyemed
Medicare NSC5695760071SD

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
1601 W 41ST ST
SIOUX FALLS, SD 57105
Optometrist
1601 W 41ST ST
SIOUX FALLS, SD 57105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851344626, enumerated as an "organization" on May 19, 2006.

The provider is located at 1601 W 41ST ST SIOUX FALLS, SD 57105 and the phone number is (605) 338-3225.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Wellmark, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.