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Shopko Stores Operating Co. LLC

Shopko Stores Operating Co. LLC is a healthcare organization registered as Eyewear Supplier in Omaha, NE, holding Type 2 (organization) NPI 1649222878 since 2006. The authorized official on file is Russell Steinhorst, Svp Chief Financial Officer.

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NPI 1649222878
Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co. LLC
Practice address 3044 S 84TH ST STE 1, Omaha, NE, 68124
Phone 4023911143
Enumeration date 2006-05-16
Last updated in NPPES 2017-10-10

Authorized official

Name Russell Steinhorst
Title Svp Chief Financial Officer
Phone 9204297489

Taxonomy & classification

Taxonomy code Specialty Primary License State
332H00000X Eyewear Supplier Primary

Other identifiers

Identifier Type State Issuer
35504 Other AVESIS
17884 Other MEDICARE
260474 Other MEDICARE
41098505418 Medicaid NE
007124 Other BLOCK
014044 Other VIP
35860 Other DAVIS
CP2230-31 Other EYEMED
Copy-ready billing details
Provider: Shopko Stores Operating Co. LLC
NPI: 1649222878
Taxonomy: 332H00000X (Eyewear Supplier)
Address: 3044 S 84TH ST STE 1, Omaha, NE, 68124

Providers at this address

NPI Name Type Specialty Location
1699714964 Mark Witte Individual Optometrist Omaha, NE
1871053504 Advanced Vision Therapies LLC Organization Optometrist Omaha, NE
1760048177 Shoptikal LLC Organization Eyewear Supplier Omaha, NE

Verify this record

Cross-check NPI 1649222878 against the authoritative CMS record: view Shopko Stores Operating Co. LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Shopko Stores Operating Co. LLC located?
The practice location on file with NPPES is in Omaha, NE.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-10-10. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-10-10.