Shopko Optical 4261 is a
Eyewear Supplier based in Taylorville, Illinois. Shopko Optical 4261 is licensed to practice in * (Not Available) (license number ) and their current practice location is
1528 W Springfield Rd, Taylorville, Illinois. It can be reached at their office (for appointments etc.) via phone at
(217) 777-9963.
NPI number for Shopko Optical 4261 is 1891454583 and their current mailing address is Po Box 19060, Green Bay, Wisconsin. Shopko Optical 4261
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1891454583.
Healthcare Provider's Profile
| Full Name | Shopko Optical 4261 |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 1528 W Springfield Rd, Taylorville, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891454583
- Provider Enumeration Date: 12/10/2021
- Last Update Date: 11/29/2024
Medical Identifiers
Medical identifiers for Shopko Optical 4261 such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891454583 | 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 4261 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 4261 Po Box 19060, Green Bay, WI 54307-9060 Ph: (920) 429-2211 | Shopko Optical 4261 1528 W Springfield Rd, Taylorville, IL 62568-2756 Ph: (217) 777-9963 |
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