ShopKo Optical 107 – Eyewear Supplier, NPI 1205889078
Eyewear Supplier
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ShopKo Optical 107
500 West, Bountiful, Davis County, Utah, 84010, United States
BOUNTIFUL, UT 840108729
Phone: (801) 295-9200
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84010)
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