SHOPKO OPTICAL 021
NPI 1639121601
Eyewear Supplier in Mankato, MN
NPI Status: Active since May 17, 2006
Contact Information
1850 E MADISON AVE
MANKATO, MN
ZIP 56001
Phone: (507) 387-6517
- Organization
- Eyewear Supplier
About SHOPKO OPTICAL 021
This page provides the complete NPI Profile along with additional information for Shopko Optical 021, a provider established in Mankato, Minnesota operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1639121601 assigned on May 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Shopko Optical 021. The authorized official of this NPI record is Michael J Bettiga Rph (Sr. Vice President Health Services)
- NPI
- 1639121601
- Provider Legal Name
- SHOPKO STORES OPERATING CO. LLC
- Other Organization Name
- SHOPKO OPTICAL 021
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1850 E MADISON AVE MANKATO, MN 56001
- Location Phone
- (507) 387-6517
- Mailing Address
- 1850 E MADISON AVE MANKATO, MN 56001
- Mailing Phone
- (507) 387-6517
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-17-2006
- Last Update Date
- 04-15-2008
- Code Navigator
Location Map
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2100546 | OTHER (01) | MN MA MEDICA CHOICE CARE | |
| 17822 | OTHER (01) | MEDICARE | |
| 410985054-4021 | OTHER (01) | NATIONAL VISION ADMIN. | |
| C04276 | MEDICARE PIN (08) | ||
| 41619SH | OTHER (01) | MN MA FIRST PLAN OF MN | |
| 5695760030 | MEDICARE NSC (07) | MN | |
| 213121-14 | OTHER (01) | EYEMED | |
| DF0849 | MEDICARE PIN (08) | ||
| 42607 | OTHER (01) | DAVIS | |
| 35694 | OTHER (01) | AVESIS | |
| 1111590031 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 20019120525 | OTHER (01) | MN MA PRIMEWEST HEALTH | |
| 014021 | OTHER (01) | VIP |
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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. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 2 | 1 | 6 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 2 | 2 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 2 + 2 + 6 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1639121601 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518910371 | SHOPKO STORES OPERATING CO LLC Organization | Pharmacy (Community/Retail Pharmacy) | 1850 E MADISON AVE MANKATO, MN 56001 (507) 387-6515 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639121601, enumerated in the NPI registry as an "organization" on May 17, 2006
The provider is located at 1850 E Madison Ave Mankato, Mn 56001 and the phone number is (507) 387-6517
This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 17, 2006. 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].
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