Shopko Optical 072 is a Technician/technologist (Optician) Store in Lewiston, Idaho. It is situated at 2120 Thain Grade, Lewiston and its contact number is 208-746-1050. The authorized person of Shopko Optical 072 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 072 is definition to come...
Complete Center Profile:
Shopko Optical 072 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:
2120 Thain Grade, Lewiston, Idaho, 83501-4105
Phone:
208-746-1050
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 072 center are as mentioned below.
NPI Number:
1003869678
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)
1003869678
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 072 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
1379404
Other
Medicare
000310200
Medicaid
Idaho
014072
Other
Vip
17838
Other
Medicare
213121-6
Other
Eyemed
806430106
Medicaid
Idaho
35447
Other
Avesis
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Shopko Optical 072 at 2120 Thain Grade, Lewiston, Idaho or can call to book an appointment on 208-746-1050. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.