Shopko Optical 089 is a
Eyewear Supplier based in Walla Walla, Washington. Shopko Optical 089 is licensed to practice in * (Not Available) (license number ) and their current practice location is
1600 W Rose St, Walla Walla, Washington. It can be reached at their office (for appointments etc.) via phone at
(509) 525-9301.
NPI number for Shopko Optical 089 is 1902859531 and their current mailing address is 1600 W Rose St, Walla Walla, Washington. Shopko Optical 089
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1902859531.
Healthcare Provider's Profile
| Full Name | Shopko Optical 089 |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 1600 W Rose St, Walla Walla, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1902859531
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 06/05/2009
Medical Identifiers
Medical identifiers for Shopko Optical 089 such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902859531 | NPI | - | NPPES |
| 17674 | Other | | MEDICARE |
| G8854797 | Other | | MEDICARE |
| 2009942 | Medicaid | WA | |
| 35551 | Other | | AVESIS |
| 014089 | Other | | VIP |
| 2130268 | Medicaid | WA | |
| 213121-1 | Other | | EYEMED |
| WA09207 | 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 089 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 089
1600 W Rose St,
Walla Walla, WA 99362-1771
Ph: (509) 525-9301 | Shopko Optical 089
1600 W Rose St,
Walla Walla, WA 99362-1771
Ph: (509) 525-9301 |
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