Shopko Optical 174

Eyewear Supplier (equipment, Not The Service)


  
2323 W Pioneer Pkwy, Peoria
Illinois, 61615-1833

 309-691-4815   Maps & Directions
Shopko Optical 174 is a Eyewear Supplier (equipment, Not The Service) Store in Peoria, Illinois. It is situated at 2323 W Pioneer Pkwy, Peoria and its contact number is 309-691-4815. The authorized person of Shopko Optical 174 is Michael J Bettiga who is Sr. Vice President Health Services of the store and their contact number is 920-429-4297.
Shopko Optical 174 is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Complete Center Profile:
Shopko Optical 174 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:2323 W Pioneer Pkwy, Peoria,
Illinois, 61615-1833
Phone:309-691-4815
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 174 center are as mentioned below.
NPI Number: 1073565180
NPI Enumeration Date: 17 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 174 are as mentioned below.
SpecializationLicense NumberStateStatus
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.
IdentifierTypeStateIssuer
17691OtherMedicare
35458OtherAvesis
014174OtherVip
CP230-16OtherEyemed
42575OtherDavis
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 174
2323 W Pioneer Pkwy,
Peoria, Illinois
Zip: 61615-1833
Phone Number: 309-691-4815
Patients can reach Shopko Optical 174 at 2323 W Pioneer Pkwy, Peoria, Illinois or can call to book an appointment on 309-691-4815. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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