Shopko Optical 129 in Spokane, WA - Eyewear Supplier

Shopko Optical 129 is a Eyewear Supplier based in Spokane, Washington. Shopko Optical 129 is licensed to practice in * (Not Available) (license number ) and their current practice location is 4515 S Regal St, Spokane, Washington. It can be reached at their office (for appointments etc.) via phone at (509) 448-9686.

NPI number for Shopko Optical 129 is 1023060050 and their current mailing address is 4515 S Regal St, Spokane, Washington. Shopko Optical 129 does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1023060050.

Contact Information

	Shopko Optical 129
	4515 S Regal St, Spokane, WA 99223-7938
	(509) 448-9686
	Not Available

Healthcare Provider's Profile

Full Name	Shopko Optical 129
Type	Facility
Speciality	Eyewear Supplier
Location	4515 S Regal St, Spokane, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1023060050
Provider Enumeration Date: 05/17/2006
Last Update Date: 06/05/2009

Medical Identifiers

Medical identifiers for Shopko Optical 129 such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023060050	NPI	-	NPPES
G8855122	Other		MEDICARE
014129	Other		VIP
CP2230-59	Other		EYEMED
WA09203	Other	WA	NORIDIAN SUBMITTER ID
2017622	Medicaid	WA
42549	Other		DAVIS VISION
10831	Other		MEDICARE
2017218	Medicaid	WA
35548	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 129 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 129 4515 S Regal St, Spokane, WA 99223-7938 Ph: (509) 448-9686	Shopko Optical 129 4515 S Regal St, Spokane, WA 99223-7938 Ph: (509) 448-9686

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Shopko Optical 129 - in Spokane, WA