Shopko Optical 173 is a Eyewear Supplier (equipment, Not The Service) Store in East Peoria, Illinois. It is situated at 105 N Main St, East Peoria and its contact number is 309-694-6470. The authorized person of Shopko Optical 173 is Michael J Bettiga
who is Sr. Vice President Health Services of the store and their contact number is 920-429-4297. Shopko Optical 173 is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Complete Center Profile:
Shopko Optical 173 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:
Eyewear Supplier (equipment, Not The Service)
Address:
105 N Main St, East Peoria, Illinois, 61611-2543
Phone:
309-694-6470
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 173 center are as mentioned below.
NPI Number:
1619929015
NPI Enumeration Date:
16 May, 2006
NPI Last Update On:
28 Sep, 2007
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 173 are as mentioned below.
Specialization
License Number
State
Status
Eyewear Supplier (equipment, Not The Service)
Primary
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
17690
Other
Medicare
42574
Other
Davis
CP2230-14
Other
Eyemed
014173
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.
Address:
Shopko Optical 173 105 N Main St, East Peoria, Illinois
Zip:
61611-2543
Phone Number:
309-694-6470
Patients can reach Shopko Optical 173 at 105 N Main St, East Peoria, Illinois or can call to book an appointment on 309-694-6470. 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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