Shopko Optical 4140 – Eyewear Supplier, NPI 1760048151

Shopko Optical 4140 is a healthcare provider. based in Green bay, Wisconsin. specializing in Eyewear Supplier. The NPI Number for Shopko Optical 4140 is 1760048151

Main info

Organization
Name
Shopko Optical 4140
NPI
1760048151
Phone
Not provided
Address
PO BOX 19060
Authorized Official
RUSSELL STEINHORST EVP & CFO
Enumeration Date
12 May 2019
Last Update Date
29 November 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness80
Years active:7State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Shopko Optical 4140

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    GREEN BAY, WI 543079060

    Phone:

    Type: Mailing

  • 1705, West Morton Avenue, Jacksonville, Morgan County, Illinois, 62650, United States

    JACKSONVILLE, IL 626502719

    Phone: (217) 245-6070

    Type: Location

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.

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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.

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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 54307)

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Reviews

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Frequently asked questions

How do I look up Shopko Optical 4140 by NPI?
Use NPI 1760048151 when you need to reference Shopko Optical 4140 in forms, claims, or directories.
Is Shopko Optical 4140 active in the national directory?
Shopko Optical 4140's public NPI profile is in an active state.
What kind of provider is Shopko Optical 4140?
The page reflects Eyewear Supplier for Shopko Optical 4140. Clinical services aligned with this taxonomy classification.
Where is Shopko Optical 4140's primary listing?
We display Green Bay, Wisconsin because that is what the record indicates for Shopko Optical 4140.
How can I contact Shopko Optical 4140?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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