Shopko Optical 081 is a
Eyewear Supplier based in Yakima, Washington. Shopko Optical 081 is licensed to practice in * (Not Available) (license number ) and their current practice location is
5801 Summitview Ave, Yakima, Washington. It can be reached at their office (for appointments etc.) via phone at
(509) 965-6405.
NPI number for Shopko Optical 081 is 1891747879 and their current mailing address is 5801 Summitview Ave, Yakima, Washington. Shopko Optical 081
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1891747879.
Healthcare Provider's Profile
| Full Name | Shopko Optical 081 |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 5801 Summitview Ave, Yakima, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891747879
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 06/05/2009
Medical Identifiers
Medical identifiers for Shopko Optical 081 such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891747879 | NPI | - | NPPES |
| 014081 | Other | | VIP |
| 2010312 | Medicaid | WA | |
| 213121-31 | Other | | EYEMED |
| G8854796 | Other | | MEDICARE |
| 17673 | Other | | MEDICARE |
| 2007912 | Medicaid | WA | |
| WA09208 | Other | WA | NORIDIAN SUBMITTER ID |
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 081 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 081
5801 Summitview Ave,
Yakima, WA 98908-3006
Ph: (509) 965-6405 | Shopko Optical 081
5801 Summitview Ave,
Yakima, WA 98908-3006
Ph: (509) 965-6405 |
Reviews and Comments