Shopko Optical 104 is a Optometrist Center in Brigham City, Utah. It is situated at 747 S Main St, Brigham City and its contact number is 435-723-1800. The authorized person of Shopko Optical 104 is Michael J Bettiga
who is Sr. Vice President Health Services of the clinic and their contact number is 920-429-4297. Shopko Optical 104 Center have optometrists who can examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Shopko Optical 104 Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Specialization:
Optometry
Clinic Address:
747 S Main St, Brigham City, Utah, 84302-3359
Phone:
435-723-1800
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Michael J Bettiga
Position:
Sr. Vice President Health Services
Contact Number:
920-429-4297
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Shopko Optical 104 Center are as mentioned below.
NPI Number:
1700839545
NPI Enumeration Date:
19 May, 2006
NPI Last Update On:
10 Jul, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shopko Optical 104 are as mentioned below.
Specialization
License Number
State
Status
Eyewear Supplier (equipment, Not The Service)
Primary
Optometrist
Secondary
Optician
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
35524
Other
Avesis
17927
Other
Medicare
410985054-165
Medicaid
Utah
CP2230-41
Other
Eyemed
014104
Other
Vip
UT04883
Other
Utah
Noridian Submitter Id
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Shopko Optical 104 747 S Main St, Brigham City, Utah
Zip:
84302-3359
Phone Number:
435-723-1800
Patients can reach Shopko Optical 104 at 747 S Main St, Brigham City, Utah or can call to book an appointment on 435-723-1800. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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