Shopko Optical 122 is a
Eyewear Supplier based in Wenatchee, Washington. Shopko Optical 122 is licensed to practice in * (Not Available) (license number ) and their current practice location is
1340 N Wenatchee Ave, Wenatchee, Washington. It can be reached at their office (for appointments etc.) via phone at
(509) 663-8868.
NPI number for Shopko Optical 122 is 1386696383 and their current mailing address is 1340 N Wenatchee Ave, Wenatchee, Washington. Shopko Optical 122
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1386696383.
Healthcare Provider's Profile
Full Name | Shopko Optical 122 |
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Type | Facility |
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Speciality | Eyewear Supplier |
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Location | 1340 N Wenatchee Ave, Wenatchee, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386696383
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 06/05/2009
Medical Identifiers
Medical identifiers for Shopko Optical 122 such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386696383 | NPI | - | NPPES |
17677 | Other | | MEDICARE |
014122 | Other | | VIP |
G8855121 | Other | | MEDICARE |
35552 | Other | | AVESIS |
2016731 | Medicaid | WA | |
WA09230 | Other | WA | NORIDIAN SUBMITTER ID |
CP2230-60 | 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 122 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 122 1340 N Wenatchee Ave, Wenatchee, WA 98801-1558 Ph: (509) 663-8868 | Shopko Optical 122 1340 N Wenatchee Ave, Wenatchee, WA 98801-1558 Ph: (509) 663-8868 |
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