NPI 1063078442

Shoptikal LLC

Organisation Eyewear Supplier Coeur D Alene, ID

Practice location

Address: 212 W Ironwood Dr STE B&c, Coeur D Alene, ID 83814-1403
Phone: (208) 765-8078
Mailing address: PO Box 19060, Green Bay, WI 54307-9060

Authorised official

Name: James Eisen
Title: Evp & Cfo
Phone: (920) 429-7549

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Idaho →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

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Registry record

NPI: 1063078442
Entity type: Organization
NPI issued: 11 May 2019
Record last updated: 29 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.