ShopKo Optical 113 – Eyewear Supplier, NPI 1033161419

ShopKo Optical 113 is a healthcare provider. based in Lacey, Washington. specializing in Eyewear Supplier. The NPI Number for ShopKo Optical 113 is 1033161419

Main info

Organization
Name
ShopKo Optical 113
NPI
1033161419
Phone
(360) 456-4532
Address
5500 MARTIN WAY E
Authorized Official
MICHAEL J BETTIGA SR. VICE PRESIDENT HEALTH SERVICES RPH
Enumeration Date
16 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 113

  • 5500, Martin Way East, Lacey, Thurston County, Washington, 98516, United States

    LACEY, WA 985166326

    Phone: (360) 456-4532

    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 98516)

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Reviews

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Frequently asked questions

What identifier follows ShopKo Optical 113 across health systems?
The NPI 1033161419 uniquely identifies ShopKo Optical 113 in U.S. healthcare data.
Is ShopKo Optical 113's NPI status active today?
Active status means ShopKo Optical 113's NPI record is not deactivated in the public file.
What does the directory say ShopKo Optical 113 does?
Insurance directories may phrase it differently, but here ShopKo Optical 113 maps to Eyewear Supplier. Clinical services aligned with this taxonomy classification.
Can patients visit ShopKo Optical 113 in Lacey, Washington?
For routing, start with Lacey, Washington for ShopKo Optical 113, then verify phone and hours locally.
Who maintains ShopKo Optical 113's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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