Shopko Optical 105

Optometrist Center


  
125 S State St, Orem
Utah, 84058-5419

 801-225-4700   Maps & Directions
Shopko Optical 105 is a Optometrist Center in Orem, Utah. It is situated at 125 S State St, Orem and its contact number is 801-225-4700. The authorized person of Shopko Optical 105 is Michael J Bettiga who is Sr. Vice President Health Services of the clinic and their contact number is 920-429-4297.
Shopko Optical 105 Center have optometrists who can examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


Complete Center Profile:
Shopko Optical 105 Center speciality, address, contact phone number and fax are as below. Patients can call the eye care center on the below given phone number for appointment.
Specialization: Optometry
Clinic Address:125 S State St, Orem,
Utah, 84058-5419
Phone:801-225-4700
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic 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 105 Center are as mentioned below.
NPI Number: 1396798161
NPI Enumeration Date: 19 May, 2006
NPI Last Update On: 10 Jul, 2008

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 105 are as mentioned below.
SpecializationLicense NumberStateStatus
Eyewear Supplier (equipment, Not The Service) Primary
Optometrist Secondary
Optician Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
014105OtherVip
CP2230-46OtherEyemed
35528OtherAvesis
410985054-196MedicaidUtah
UT04884OtherUtahNoridian Submitter Id
17928OtherMedicare
42586OtherDavis
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 105
125 S State St,
Orem, Utah
Zip: 84058-5419
Phone Number: 801-225-4700
Patients can reach Shopko Optical 105 at 125 S State St, Orem, Utah or can call to book an appointment on 801-225-4700. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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