Shopko Optical 113 is a Optometrist Center in Lacey, Washington. It is situated at 5500 Martin Way E, Lacey and its contact number is 360-456-4532. The authorized person of Shopko Optical 113 is Michael J Bettiga
who is Sr. Vice President Health Services of the clinic and their contact number is 920-429-4297. Shopko Optical 113 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 113 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:
5500 Martin Way E, Lacey, Washington, 98516-6326
Phone:
360-456-4532
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 113 Center are as mentioned below.
NPI Number:
1033161419
NPI Enumeration Date:
16 May, 2006
NPI Last Update On:
05 Jun, 2009
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 113 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
17676
Other
Medicare
CP2230-57
Other
Eyemed
2020667
Medicaid
Washington
WA09205
Other
Washington
Noridian Submitter Id
014113
Other
Vip
G8855125
Other
Medicare
2016293
Medicaid
Washington
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 113 5500 Martin Way E, Lacey, Washington
Zip:
98516-6326
Phone Number:
360-456-4532
Patients can reach Shopko Optical 113 at 5500 Martin Way E, Lacey, Washington or can call to book an appointment on 360-456-4532. 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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