SHOPKO OPTICAL 4233
NPI 1194334979
Eyewear Supplier in Logan, UT

NPI Status: Active since July 28, 2020

Contact Information

1205 N MAIN ST
LOGAN, UT
ZIP 84341
Phone: (435) 554-1660

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  • Organization
  • Eyewear Supplier

About SHOPKO OPTICAL 4233

This page provides the complete NPI Profile along with additional information for Shopko Optical 4233, a provider established in Logan, Utah operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1194334979 assigned on July 2020. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Shopko Optical 4233. The authorized official of this NPI record is Russell Steinhorst (Evp & Cfo)

NPI
1194334979
Provider Legal Name
SHOPTIKAL LLC
Other Organization Name
SHOPKO OPTICAL 4233
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1205 N MAIN ST LOGAN, UT 84341
Location Phone
(435) 554-1660
Mailing Address
PO BOX 19060 GREEN BAY, WI 54307
Mailing Phone
(920) 429-7842
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2020
Last Update Date
11-29-2024
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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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RUSSELL STEINHORST

Authorized Official Title
EVP & CFO
Authorized Official Phone
(920) 429-7489

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194334979
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184638914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 6 + 3 + 8 + 9 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1194334979 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194334979, enumerated in the NPI registry as an "organization" on July 28, 2020

The provider is located at 1205 N Main St Logan, Ut 84341 and the phone number is (435) 554-1660

This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X

This NPI record was last updated on July 28, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.