ShopKo Optical 140 – Eyewear Supplier, NPI 1679525729

ShopKo Optical 140 is a healthcare provider. based in Jacksonville, Illinois. specializing in Eyewear Supplier. The NPI Number for ShopKo Optical 140 is 1679525729

Main info

Organization
Name
ShopKo Optical 140
NPI
1679525729
Phone
(217) 245-6070
Address
1964 W MORTON AVE
Authorized Official
MICHAEL J BETTIGA SR. VICE PRESIDENT HEALTH SERVICES RPH
Enumeration Date
17 May 2006
Last Update Date
4 June 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for ShopKo Optical 140

  • 1964, West Morton Avenue, Jacksonville, Morgan County, Illinois, 62650, United States

    JACKSONVILLE, IL 626502621

    Phone: (217) 245-6070

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62650)

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Reviews

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Frequently asked questions

Where can patients find ShopKo Optical 140's NPI?
You can confirm ShopKo Optical 140 with NPI 1679525729; it appears in the national provider directory.
Does this profile mean ShopKo Optical 140 is currently active?
Yes — ShopKo Optical 140 appears active in the national provider directory.
What does ShopKo Optical 140 treat or focus on?
Patients typically see ShopKo Optical 140 under the specialty Eyewear Supplier. Clinical services aligned with this taxonomy classification.
What location metadata exists for ShopKo Optical 140?
The page summarizes Jacksonville, Illinois for ShopKo Optical 140; expand the address list for detail.
Is ShopKo Optical 140 a real provider?
This page reflects official NPPES data for NPI 1679525729. Always confirm identity and privileges with the practice and licensing boards.

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