Shopko Optical 070 in Spokane Valley, WA - Eyewear Supplier

Shopko Optical 070 is a Eyewear Supplier based in Spokane Valley, Washington. Shopko Optical 070 is licensed to practice in * (Not Available) (license number ) and their current practice location is 13414 E Sprague Ave, Spokane Valley, Washington. It can be reached at their office (for appointments etc.) via phone at (509) 924-2015.

NPI number for Shopko Optical 070 is 1073565123 and their current mailing address is 13414 E Sprague Ave, Spokane Valley, Washington. Shopko Optical 070 does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1073565123.

Contact Information

	Shopko Optical 070
	13414 E Sprague Ave, Spokane Valley, WA 99216-0848
	(509) 924-2015
	Not Available

Healthcare Provider's Profile

Full Name	Shopko Optical 070
Type	Facility
Speciality	Eyewear Supplier
Location	13414 E Sprague Ave, Spokane Valley, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1073565123
Provider Enumeration Date: 05/17/2006
Last Update Date: 06/05/2009

Medical Identifiers

Medical identifiers for Shopko Optical 070 such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073565123	NPI	-	NPPES
35546	Other		AVESIS
014070	Other		VIP
WA09206	Other	WA	NORIDIAN SUBMITTER ID
213121-29	Other		EYEMED
2013142	Medicaid	WA
G8854794	Other		MEDICARE
10829	Other		MEDICARE
2005056	Medicaid	WA

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 070 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 070 13414 E Sprague Ave, Spokane Valley, WA 99216-0848 Ph: (509) 924-2015	Shopko Optical 070 13414 E Sprague Ave, Spokane Valley, WA 99216-0848 Ph: (509) 924-2015

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Shopko Optical 070 - in Spokane Valley, WA