Shopko Optical 095 is a Technician/technologist (Optician) Store in Boise, Idaho. It is situated at 2655 Broadway Ave, Boise and its contact number is 208-345-8812. The authorized person of Shopko Optical 095 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 095 is definition to come...
Complete Center Profile:
Shopko Optical 095 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:
2655 Broadway Ave, Boise, Idaho, 83706-4721
Phone:
208-345-8812
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 095 center are as mentioned below.
NPI Number:
1477505485
NPI Enumeration Date:
17 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)
1477505485
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 095 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
42577
Other
Davis Vision
000309600
Medicaid
Idaho
213121-3
Other
Eyemed
17839
Other
Medicare
410985054-4095
Other
Uwg
1379405
Other
Medicare
806430107
Medicaid
Idaho
014095
Other
Vip
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 095 at 2655 Broadway Ave, Boise, Idaho or can call to book an appointment on 208-345-8812. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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