Shopko Optical 128 in Kalispell, MT - Eyewear Supplier

Shopko Optical 128 is a Eyewear Supplier based in Kalispell, Montana. Shopko Optical 128 is licensed to practice in * (Not Available) (license number ) and their current practice location is 1370 Us Highway 2 E, Kalispell, Montana. It can be reached at their office (for appointments etc.) via phone at (406) 257-1278.

NPI number for Shopko Optical 128 is 1528010550 and their current mailing address is 1370 Us Highway 2 E, Kalispell, Montana. Shopko Optical 128 does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1528010550.

Contact Information

	Shopko Optical 128
	1370 Us Highway 2 E, Kalispell, MT 59901-3221
	(406) 257-1278
	Not Available

Healthcare Provider's Profile

Full Name	Shopko Optical 128
Type	Facility
Speciality	Eyewear Supplier
Location	1370 Us Highway 2 E, Kalispell, Montana
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1528010550
Provider Enumeration Date: 05/17/2006
Last Update Date: 04/24/2008

Medical Identifiers

Medical identifiers for Shopko Optical 128 such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528010550	NPI	-	NPPES
17881	Other		MEDICARE
014128	Other		VIP
0551174	Medicaid	MT
35493	Other		AVESIS
000083891	Other		MEDICARE
CP2230-25	Other		EYEMED

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 128 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 128 1370 Us Highway 2 E, Kalispell, MT 59901-3221 Ph: (406) 257-1278	Shopko Optical 128 1370 Us Highway 2 E, Kalispell, MT 59901-3221 Ph: (406) 257-1278

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Shopko Optical 128 - in Kalispell, MT