SHOPKO OPTICAL 055
NPI 1861445587
Eyewear Supplier in Stevens Point, WI
- Organization
- Eyewear Supplier
About SHOPKO OPTICAL 055
This page provides the complete NPI Profile along with additional information for Shopko Optical 055, a provider established in Stevens Point, Wisconsin operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1861445587 assigned on May 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Shopko Optical 055. The authorized official of this NPI record is Michael J Bettiga Rph (Sr. Vice President Health Services)
- NPI
- 1861445587 Verify this NPI
- Provider Legal Name
- SHOPKO STORES OPERATING CO. LLC
- Other Organization Name
- SHOPKO OPTICAL 055
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1200 MAIN ST STEVENS POINT, WI 54481
- Location Phone
- (715) 344-5355
- Mailing Address
- 1200 MAIN ST STEVENS POINT, WI 54481
- Mailing Phone
- (715) 344-5355
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-17-2006
- Last Update Date
- 02-11-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CP2230-91 | OTHER (01) | EYEMED | |
| 014055 | OTHER (01) | VIP | |
| 17656 | OTHER (01) | MEDICARE | |
| 0154160136 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 38427700 | MEDICAID (05) | WI | |
| 410985054-4055 | OTHER (01) | NVA | |
| 42605 | OTHER (01) | DAVIS | |
| 35591 | OTHER (01) | AVESIS | |
| 5695760059 | MEDICARE NSC (07) | WI | |
| DF0804 | MEDICARE PIN (08) | ||
| 87856 | OTHER (01) | MEDICARE |
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
STEVENS POINT, WI 54481
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861445587, enumerated as an "organization" on May 17, 2006.
The provider is located at 1200 MAIN ST STEVENS POINT, WI 54481 and the phone number is (715) 344-5355.
Eyewear Supplier with taxonomy code 332H00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
