ShopKo Optical 129 – Eyewear Supplier, NPI 1023060050

ShopKo Optical 129 is a healthcare provider. based in Spokane, Washington. specializing in Eyewear Supplier. The NPI Number for ShopKo Optical 129 is 1023060050

Main info

Organization
Name
ShopKo Optical 129
NPI
1023060050
Phone
(509) 448-9686
Address
4515 S REGAL ST
Authorized Official
MICHAEL J BETTIGA SR. VICE PRESIDENT HEALTH SERVICES RPH
Enumeration Date
17 May 2006
Last Update Date
5 June 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for ShopKo Optical 129

  • The Home Depot, 4515, South Regal Street, Southgate, Spokane, Spokane County, Washington, 99223, United States

    SPOKANE, WA 992237938

    Phone: (509) 448-9686

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 99223)

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Reviews

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Frequently asked questions

Can I use this page to confirm ShopKo Optical 129's NPI?
Yes. ShopKo Optical 129 is listed with NPI 1023060050 in the public NPI dataset.
Does CMS list ShopKo Optical 129 as active?
Yes — ShopKo Optical 129 is active in the NPI listing used on this page.
What healthcare role does ShopKo Optical 129 hold?
Scheduling teams often label ShopKo Optical 129 under Eyewear Supplier. Clinical services aligned with this taxonomy classification.
Where is ShopKo Optical 129 based?
ShopKo Optical 129 is tied to Spokane, Washington in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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