Shopko Optical 4249 is a
Eyewear Supplier based in Naperville, Illinois. Shopko Optical 4249 is licensed to practice in * (Not Available) (license number ) and their current practice location is
2936 Showplace Dr Ste 108, Naperville, Illinois. It can be reached at their office (for appointments etc.) via phone at
(331) 529-5067.
NPI number for Shopko Optical 4249 is 1265006449 and their current mailing address is 700 Pilgrim Way, Green Bay, Wisconsin. Shopko Optical 4249
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1265006449.
Healthcare Provider's Profile
| Full Name | Shopko Optical 4249 |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 2936 Showplace Dr Ste 108, Naperville, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265006449
- Provider Enumeration Date: 05/13/2021
- Last Update Date: 11/29/2024
Medical Identifiers
Medical identifiers for Shopko Optical 4249 such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265006449 | 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 4249 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 4249 700 Pilgrim Way, Green Bay, WI 54304-5263 Ph: (920) 429-7842 | Shopko Optical 4249 2936 Showplace Dr Ste 108, Naperville, IL 60564-5063 Ph: (331) 529-5067 |
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