ShopKo Optical 092 – Eyewear Supplier, NPI 1336191311

ShopKo Optical 092 is a healthcare provider. based in Kennewick, Washington. specializing in Eyewear Supplier. The NPI Number for ShopKo Optical 092 is 1336191311

Main info

Organization
Name
ShopKo Optical 092
NPI
1336191311
Phone
(509) 736-0515
Address
867 N COLUMBIA CENTER BLVD
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 092

  • Columbia Center Boulevard, Kennewick, Benton County, Washington, 99338, United States

    KENNEWICK, WA 993367771

    Phone: (509) 736-0515

    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 99336)

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Reviews

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Frequently asked questions

Is ShopKo Optical 092 listed with a National Provider Identifier?
Yes — ShopKo Optical 092 has NPI 1336191311 on file in the registry.
Active or inactive — what applies to ShopKo Optical 092?
You should see ShopKo Optical 092 as active in CMS-hosted NPPES data.
What area of care is associated with ShopKo Optical 092?
ShopKo Optical 092's record emphasizes Eyewear Supplier. Clinical services aligned with this taxonomy classification.
Is ShopKo Optical 092 located near Kennewick?
ShopKo Optical 092 currently maps to Kennewick, Washington in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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