Shopko Optical 4133 is a
Eyewear Supplier based in Belvidere, Illinois. Shopko Optical 4133 is licensed to practice in * (Not Available) (license number ) and their current practice location is
1918 Gateway Center Dr, Belvidere, Illinois. It can be reached at their office (for appointments etc.) via phone at
(815) 547-3456.
NPI number for Shopko Optical 4133 is 1942866330 and their current mailing address is Po Box 19060, Green Bay, Wisconsin. Shopko Optical 4133
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1942866330.
Healthcare Provider's Profile
| Full Name | Shopko Optical 4133 |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 1918 Gateway Center Dr, Belvidere, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942866330
- Provider Enumeration Date: 05/12/2019
- Last Update Date: 02/28/2026
Medical Identifiers
Medical identifiers for Shopko Optical 4133 such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942866330 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shopko Optical 4133 is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shopko Optical 4133 Po Box 19060, Green Bay, WI 54307-9060 Ph: Not Available | Shopko Optical 4133 1918 Gateway Center Dr, Belvidere, IL 61008-9303 Ph: (815) 547-3456 |
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