Shoptikal LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SHOPTIKAL LLC

Practice address

3570 4TH St SW Ste 400
Mason City, IA 50401-1550

Phone

(641) 424-8271

NPI assigned

May 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Russell Steinhorst

Title

Evp & Cfo

Phone

(920) 429-7489

Specialties & licenses 2

Addresses

Other names 1

• Shopko Optical 4052 Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Shoptikal LLC

  • Eyewear Supplier
  • Sioux City, IA
  • NPI 1215593686

  O20190625002621

  Same enrollment
• Shoptikal LLC

  • Eyewear Supplier
  • Ankeny, IA
  • NPI 1518637610

  O20190625002621

  Same enrollment
• Shoptikal LLC

  • Eyewear Supplier
  • Dubuque, IA
  • NPI 1588220974

  O20190625002621

  Same enrollment

Tax ID family

Shoptikal LLC168 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Shoptikal LLC

  • Eyewear Supplier
  • Sioux City, IA
  • NPI 1215593686
  NPD tax ID
• Shoptikal LLC

  • Eyewear Supplier
  • Ankeny, IA
  • NPI 1518637610
  NPD tax ID
• Shoptikal LLC

  • Eyewear Supplier
  • Dubuque, IA
  • NPI 1588220974
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerrie L Lubben, O.D.

  • Optometrist
  • Mason City, IA
  • NPI 1043202922
  NPD
• Samantha Jane Thompson, OD

  • Optometrist
  • Des Moines, IA
  • NPI 1053164525
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1104482579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19060",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543079060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 4TH ST SW STE 400",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011550",
            "telephone_number": "641-424-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOPTIKAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-11",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "STEINHORST",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "EVP & CFO",
        "authorized_official_telephone_number": "920-429-7489"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shopko Optical 4052",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shopko Optical 4052",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shirk PC
• Gregory J Shirk, DC
• Mohammedelrashed Shogar, MD
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC
• Auston Shrader, DC
• Gregory M Sibenaller, DO
• Fayez Ahmed Siddiqui, M.D
• Susan E Sieh, MD
• Paula M Siems, PT

• All providers in Mason City, IA
• Eyewear Supplier in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.