Shopko Optical 134 is a
Eyewear Supplier based in Pullman, Washington. Shopko Optical 134 is licensed to practice in * (Not Available) (license number ) and their current practice location is
1450 S Grand Ave, Pullman, Washington. It can be reached at their office (for appointments etc.) via phone at
(509) 332-0820.
NPI number for Shopko Optical 134 is 1801848924 and their current mailing address is 1450 S Grand Ave, Pullman, Washington. Shopko Optical 134
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1801848924.
Healthcare Provider's Profile
| Full Name | Shopko Optical 134 |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 1450 S Grand Ave, Pullman, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1801848924
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 06/05/2009
Medical Identifiers
Medical identifiers for Shopko Optical 134 such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801848924 | NPI | - | NPPES |
| WA09204 | Other | WA | NORIDIAN SUBMITTER ID |
| G8855124 | Other | | MEDICARE |
| CP2230-58 | Other | | EYEMED |
| 2019388 | Medicaid | WA | |
| 35544 | Other | | AVESIS |
| 17678 | Other | | MEDICARE |
| 2019115 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (* (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 134 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 134
1450 S Grand Ave,
Pullman, WA 99163-4900
Ph: (509) 332-0820 | Shopko Optical 134
1450 S Grand Ave,
Pullman, WA 99163-4900
Ph: (509) 332-0820 |
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