Shopko Optical 110 is a Optometrist Center in Salt Lake City, Utah. It is situated at 2290 S 1300 E, Salt Lake City and its contact number is 801-467-8989. The authorized person of Shopko Optical 110 is Michael J Bettiga
who is Sr. Vice President Health Services of the clinic and their contact number is 920-429-4297.
Shopko Optical 110 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 110 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: | 2290 S 1300 E, Salt Lake City, Utah, 84106-2831 |
Phone: | 801-467-8989 |
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 110 Center are as mentioned below.
NPI Number: | 1568415339 |
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 110 are as mentioned below.
Specialization | License Number | State | Status | |
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.
Identifier | Type | State | Issuer |
CP2230-50 | Other | | Eyemed |
35534 | Other | | Avesis |
410985054-246 | Medicaid | Utah | |
17933 | Other | | Medicare |
410985054-4110 | Other | | National Vision Admin |
014110 | Other | | Vip |
42512 | Other | | Davis |
UT03960 | Other | Utah | Noridian Submitter Id |
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 110 2290 S 1300 E, Salt Lake City, Utah |
Zip: | 84106-2831 |
Phone Number: | 801-467-8989 |
Patients can reach Shopko Optical 110 at
2290 S 1300 E, Salt Lake City, Utah or can
call to book an appointment on 801-467-8989. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.