ShopKo Optical 070 – Eyewear Supplier, NPI 1073565123

ShopKo Optical 070 is a healthcare provider. based in Spokane valley, Washington. specializing in Eyewear Supplier. The NPI Number for ShopKo Optical 070 is 1073565123

Main info

Organization
Name
ShopKo Optical 070
NPI
1073565123
Phone
(509) 924-2015
Address
13414 E SPRAGUE AVE
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 070

  • Tractor Supply Company, 13414, East Sprague Avenue, Veradale, Spokane Valley, Spokane County, Washington, 99216, United States

    SPOKANE VALLEY, WA 992160848

    Phone: (509) 924-2015

    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.

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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 99216)

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Reviews

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Frequently asked questions

What federal number belongs to ShopKo Optical 070?
The federal identifier for ShopKo Optical 070 is NPI 1073565123.
Is ShopKo Optical 070's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ShopKo Optical 070 treat or focus on?
Patients typically see ShopKo Optical 070 under the specialty Eyewear Supplier. Clinical services aligned with this taxonomy classification.
Where is ShopKo Optical 070's primary listing?
We display Spokane Valley, Washington because that is what the record indicates for ShopKo Optical 070.
What if Spokane Valley, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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