ShopKo Optical 089 – Eyewear Supplier, NPI 1902859531

ShopKo Optical 089 is a healthcare provider. based in Walla walla, Washington. specializing in Eyewear Supplier. The NPI Number for ShopKo Optical 089 is 1902859531

Main info

Organization
Name
ShopKo Optical 089
NPI
1902859531
Phone
(509) 525-9301
Address
1600 W ROSE 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 089

  • 1600, West Rose Street, Walla Walla, Walla Walla County, Washington, 99362, United States

    WALLA WALLA, WA 993621771

    Phone: (509) 525-9301

    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 99362)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for ShopKo Optical 089?
ShopKo Optical 089 — NPI 1902859531 — is the standard way to identify this listing.
Can I rely on ShopKo Optical 089 being an active provider?
As of the registry snapshot, ShopKo Optical 089 is marked active.
What healthcare role does ShopKo Optical 089 hold?
Scheduling teams often label ShopKo Optical 089 under Eyewear Supplier. Clinical services aligned with this taxonomy classification.
Where is ShopKo Optical 089 based?
ShopKo Optical 089 is tied to Walla Walla, Washington in the data we show; additional addresses may exist on the full record.
Is the information about ShopKo Optical 089 up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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