Shopko Optical 179 is a Eyewear Supplier (equipment, Not The Service) Store in North Branch, Minnesota. It is situated at 5630 St Croix Trail, North Branch and its contact number is 651-674-9951. The authorized person of Shopko Optical 179 is Mr. Michael 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 179 is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Complete Center Profile:
Shopko Optical 179 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:
5630 St Croix Trail, North Branch, Minnesota, 55056
Phone:
651-674-9951
Fax:
651-674-9907
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:
Mr. Michael 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 179 center are as mentioned below.
NPI Number:
1689835647
NPI Enumeration Date:
23 Jun, 2008
NPI Last Update On:
18 Jun, 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
Eyewear Supplier (equipment, Not The Service)
1689835647
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 179 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
1689835647
Medicaid
Minnesota
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 179 5630 St Croix Trail, North Branch, Minnesota
Zip:
55056
Phone Number:
651-674-9951
Fax Number:
651-674-9907
Patients can reach Shopko Optical 179 at 5630 St Croix Trail, North Branch, Minnesota or can call to book an appointment on 651-674-9951. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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