Shopko Optical 062 in Great Falls, MT - Eyewear Supplier

Shopko Optical 062 is a Eyewear Supplier based in Great Falls, Montana. Shopko Optical 062 is licensed to practice in * (Not Available) (license number ) and their current practice location is 301 Northwest Byp, Great Falls, Montana. It can be reached at their office (for appointments etc.) via phone at (406) 727-9724.

NPI number for Shopko Optical 062 is 1902859515 and their current mailing address is 301 Northwest Byp, Great Falls, Montana. Shopko Optical 062 does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1902859515.

Contact Information

	Shopko Optical 062
	301 Northwest Byp, Great Falls, MT 59404-4125
	(406) 727-9724
	Not Available

Healthcare Provider's Profile

Full Name	Shopko Optical 062
Type	Facility
Speciality	Eyewear Supplier
Location	301 Northwest Byp, Great Falls, Montana
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1902859515
Provider Enumeration Date: 05/18/2006
Last Update Date: 04/24/2008

Medical Identifiers

Medical identifiers for Shopko Optical 062 such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902859515	NPI	-	NPPES
0550576	Medicaid	MT
213121-20	Other		EYEMED
17877	Other		MEDICARE
35491	Other		AVESIS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	(* (Not Available))	Secondary
156FX1800X	Technician/technologist - Optician	(* (Not Available))	Secondary
332H00000X	Eyewear Supplier	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shopko Optical 062 is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shopko Optical 062 301 Northwest Byp, Great Falls, MT 59404-4125 Ph: (406) 727-9724	Shopko Optical 062 301 Northwest Byp, Great Falls, MT 59404-4125 Ph: (406) 727-9724

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Shopko Optical 062 - in Great Falls, MT