SHOPKO OPTICAL 4283
NPI 1902540800
Eyewear Supplier in Wahpeton, ND

Active since April 26, 2022
517 DAKOTA AVE, WAHPETON, ND 58075(701) 642-9302 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2022, Apr 26, 2022 (2 updates tracked since 2022).

About Shopko Optical 4283 NPPES

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

SHOPKO OPTICAL 4283 (NPI 1902540800) is a healthcare organization registered as an eyewear supplier in Wahpeton, North Dakota and active in the NPI registry since April 2022. The organization lists Russell Steinhorst, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1902540800
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSHOPTIKAL LLC
Location Address517 DAKOTA AVEWahpeton, ND 58075-4414
Mailing AddressPo Box 19060Green Bay, WI 54307-9060 · (920) 429-7285
Organization SubpartNo
Authorized OfficialRussell SteinhorstEvp & Cfo · (920) 429-7489
Enumeration DateApril 26, 2022
Last NPPES UpdateNovember 29, 20242 updates tracked since enumeration
NPPES CertifiedNovember 29, 2024
✔ NPI 1902540800 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
517 DAKOTA AVE, Wahpeton, ND 58075

Other Names 1

Doing Business AsShopko Optical 4283

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

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 4283 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Shopko Optical 4283, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Optometry
NPI 1508884016
517 DAKOTA AVE
Wahpeton, ND 58075
(701) 642-9302
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1376194472
4541 52ND AVE S STE 130
Fargo, ND 58104
(701) 929-9028
✔ PECOS39 mi
Optometry
NPI 1366548752
3051 25TH ST S STE K-2
Fargo, ND 58103
(701) 234-0766
✔ PECOS✔ Accepts Medicare41 mi
Optometry
NPI 1386028777
3902 13TH AVE S STE 256
Fargo, ND 58103
(701) 277-3636
✔ PECOS✔ Accepts Medicare43 mi
Optometry
NPI 1982713012
512 ATLANTIC AVE MIDWEST FAMILY EYECARE LTD
Morris, MN 56267
(320) 589-1300
✔ PECOS✔ Accepts Medicare57 mi
Optometry
NPI 1972612075
738 KIRKWOOD MALL MIDWEST VISION CENTERS
Bismarck, ND 58504
(701) 258-8810
✔ PECOS✔ Accepts Medicare203 mi
Optometry
NPI 1669581765
2400 SW 10TH ST
Minot, ND 58701
(701) 852-6836
✔ PECOS✔ Accepts Medicare259 mi
Optometry
NPI 1295060382
1100 N BROADWAY STE 110
Minot, ND 58703
(701) 852-2020
✔ PECOS✔ Accepts Medicare260 mi
Optometry
NPI 1649792169
1100 N BROADWAY STE 110
Minot, ND 58703
(701) 852-2020
✔ PECOS✔ Accepts Medicare260 mi

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 1902540800. It was assigned to this organization in the NPPES registry on April 26, 2022. The provider is doing business as Shopko Optical 4283.

Where is Shoptikal LLC located?

Shoptikal LLC is located at 517 Dakota Ave, Wahpeton, ND 58075. The listed phone number is (701) 642-9302.

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), 9 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shoptikal LLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford 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 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.