Shopko Optical 4307 is a
Eyewear Supplier based in Red Wing, Minnesota. Shopko Optical 4307 is licensed to practice in * (Not Available) (license number ) and their current practice location is
3259 S Service Dr, Red Wing, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(651) 858-3871.
NPI number for Shopko Optical 4307 is 1720891708 and their current mailing address is Po Box 19060, Green Bay, Wisconsin. Shopko Optical 4307
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1720891708.
Healthcare Provider's Profile
| Full Name | Shopko Optical 4307 |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 3259 S Service Dr, Red Wing, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720891708
- Provider Enumeration Date: 01/31/2025
- Last Update Date: 01/31/2025
Medical Identifiers
Medical identifiers for Shopko Optical 4307 such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720891708 | 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 4307 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 4307 Po Box 19060, Green Bay, WI 54307-9060 Ph: (920) 429-2211 | Shopko Optical 4307 3259 S Service Dr, Red Wing, MN 55066-1821 Ph: (651) 858-3871 |
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