Shopko Optical 075 is a
Eyewear Supplier based in Missoula, Montana. Shopko Optical 075 is licensed to practice in * (Not Available) (license number ) and their current practice location is
2510 S Reserve St, Missoula, Montana. It can be reached at their office (for appointments etc.) via phone at
(406) 721-4646.
NPI number for Shopko Optical 075 is 1174576748 and their current mailing address is 2510 S Reserve St, Missoula, Montana. Shopko Optical 075
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1174576748.
Healthcare Provider's Profile
| Full Name | Shopko Optical 075 |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 2510 S Reserve St, Missoula, Montana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174576748
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 04/24/2008
Medical Identifiers
Medical identifiers for Shopko Optical 075 such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174576748 | NPI | - | NPPES |
| 0550862 | Medicaid | MT | |
| 17878 | Other | | MEDICARE |
| 35494 | Other | | AVESIS |
| 213121-21 | Other | | EYEMED |
| 014075 | Other | | VIP |
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 075 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 075
2510 S Reserve St,
Missoula, MT 59801-7546
Ph: (406) 721-4646 | Shopko Optical 075
2510 S Reserve St,
Missoula, MT 59801-7546
Ph: (406) 721-4646 |
Reviews and Comments