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SHOPKO OPTICAL 4005
NPI 1871138073
Eyewear Supplier in Depere, WI

Active since November 12, 2019
723 MAIN AVE, DEPERE, WI 54115(920) 336-3390 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shopko Optical 4005 NPPES

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

SHOPKO OPTICAL 4005 (NPI 1871138073) is a healthcare organization registered as an eyewear supplier in Depere, Wisconsin and active in the NPI registry since November 2019. The organization lists Russell Steinhorst, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1871138073
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPTIKAL LLC
Location Address723 MAIN AVEDepere, WI 54115
Mailing AddressPo Box 19060Green Bay, WI 54307-9060
Phone(920) 336-3390
Organization SubpartNo
Authorized OfficialRussell SteinhorstEvp & Cfo · (920) 429-7489
Enumeration DateNovember 12, 2019
Last NPPES UpdateNovember 29, 2024
NPPES CertifiedNovember 29, 2024
✔ NPI 1871138073 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
723 MAIN AVE, Depere, WI 54115
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Other Names 1

Doing Business AsShopko Optical 4005

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, Aspirus Health Plan, HealthPartners and more.Insurance ›

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. JAMIE LYNN ERTL OD
Optometrist
723 MAIN AVE
DE PERE, WI 54115
Brown County (920) 336-3390

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 1871138073. It was assigned to this organization in the NPPES registry on November 12, 2019. The provider is doing business as Shopko Optical 4005.

Where is Shoptikal LLC located?

Shoptikal LLC is located at 723 Main Ave, Depere, WI 54115. The listed phone number is (920) 336-3390.

What is Shoptikal LLC's specialty?

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

What insurance does Shoptikal LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Quartz and Security Health Plan 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 with the weekly NPPES data releases published by CMS.