SHOPKO OPTICAL 4229 – NPI #1801493903
Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
SHOPKO OPTICAL 4229 is an eyewear supplier located in CHAMPLIN, MN. NPPES has assigned the NPI number 1801493903 to SHOPKO OPTICAL 4229 on October 02, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHOPKO OPTICAL 4229” is a dba name, the actual legal business name for this organization is SHOPTIKAL LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 332H00000X from the Health Care Provider Taxonomy code set, which is classified as Eyewear Supplier.
The NPI profile was last updated on Nov 29, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHOPKO OPTICAL 4229 below.
NPI Profile for
SHOPTIKAL LLC
(more than 5 years ago)
CHAMPLIN, MN 55316 Phone: (763) 343-5937 Fax:
GREEN BAY, WI 54307-9060 Phone: (920) 429-7842 Fax:
EVP & CFO
Phone: (920) 429-7489
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 332H00000X - Eyewear Supplier (Primary) |
||
| 152W00000X - Optometrist |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.