Shopko Optical 069 is a Technician/technologist (Optician) Store in Coeur D Alene, Idaho. It is situated at 217 W Ironwood Dr, Coeur D Alene and its contact number is 208-765-8078. The authorized person of Shopko Optical 069 is Michael J Bettiga
who is Sr. Vice President Health Services of the store and their contact number is 920-429-4297. Other organizations associated with this store are Shopko Stores Operating Co Llc, Shopko Stores Operating Co. Llc, Shopko Optical 069 is definition to come...
Complete Center Profile:
Shopko Optical 069 Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the eye care center or can call on the below given phone number for appointment.
Specialization:
Optician, Technician/technologist
Address:
217 W Ironwood Dr, Coeur D Alene, Idaho, 83814-2651
Phone:
208-765-8078
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store 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 069 center are as mentioned below.
NPI Number:
1497708085
NPI Enumeration Date:
18 May, 2006
NPI Last Update On:
03 Aug, 2009
Other Associated Organizations:
Other organizations which are associated with this store are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Shopko Stores Operating Co. Llc
Technician/technologist (Optician)
1497708085
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 069 are as mentioned below.
Specialization
License Number
State
Status
Eyewear Supplier (equipment, Not The Service)
Primary
Optician
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
014069
Other
Vip
213121-4
Other
Eyemed
35444
Other
Avesis
806430105
Medicaid
Idaho
42507
Other
Davis Vision
1379403
Other
Medicare
17837
Other
Medicare
000309800
Medicaid
Idaho
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 069 217 W Ironwood Dr, Coeur D Alene, Idaho
Zip:
83814-2651
Phone Number:
208-765-8078
Patients can reach Shopko Optical 069 at 217 W Ironwood Dr, Coeur D Alene, Idaho or can call to book an appointment on 208-765-8078. 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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