SHOPKO OPTICAL 175
NPI 1942252465
Eyewear Supplier in Lincoln, NE

Q: What is Shopko Stores Operating Co. LLC's NPI number?

The NPI number for Shopko Stores Operating Co. LLC is 1942252465. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Shopko Optical 175.

Q: What is Shopko Stores Operating Co. LLC's specialty?

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

Active since May 16, 2006

6845 S 27TH ST, LINCOLN, NE 68512(402) 420-6644 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Shopko Optical 175 NPPES

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

SHOPKO OPTICAL 175 (NPI 1942252465) is a healthcare organization registered as an eyewear supplier in Lincoln, Nebraska 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

NPI1942252465

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameSHOPKO STORES OPERATING CO. LLC

Location Address6845 S 27TH STLincoln, NE 68512-4823

Mailing Address6845 S 27th StLincoln, NE 68512-4823 · (402) 420-6644

Phone(402) 420-6644

Organization SubpartNo

Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297

Enumeration DateMay 16, 2006

Last NPPES UpdateFebruary 11, 2008

✔ NPI 1942252465 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.

6845 S 27TH ST, Lincoln, NE 68512

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Other Names 1

Doing Business AsShopko Optical 175

Other Identifiers 11

Medicare PINDF0848

Other016626Block

Medicare ID-Type Unspecified0154160298

Medicaid41098505452NE

Medicare NSC5695760025NE

Other014175Vip

OtherCP2230-27Eyemed

Medicare PIN099830NE

Other35500Avesis

Other42628Davis

Other17892Medicare

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOPKO STORES OPERATING CO LLC

Pharmacy (Community/Retail Pharmacy)

6845 S 27TH ST
LINCOLN, NE 68512

Lancaster County (402) 420-1199

DR. JOHN NEUMANN BOEVER O.D.

Optometrist

6845 S 27TH ST
LINCOLN, NE 68512

Lancaster County (402) 420-6644

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 Shopko Stores Operating Co. LLC's NPI number?

The NPI number for Shopko Stores Operating Co. LLC is 1942252465. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Shopko Optical 175.

Where is Shopko Stores Operating Co. LLC located?

Shopko Stores Operating Co. LLC is located at 6845 S 27th St, Lincoln, NE 68512. The listed phone number is (402) 420-6644.

What is Shopko Stores Operating Co. LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating Co. LLC was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.