Whalio Doctors

NPI 1174233787

Shoptikal LLC

Organisation Eyewear Supplier Portage, WI

Practice location

Address
2935 New Pinery Rd, Portage, WI 53901-9226
Phone
(920) 429-2211
Mailing address
PO Box 19060, Green Bay, WI 54307-9060

Authorised official

Name
Russell Steinhorst
Title
Evp & Cfo
Phone
(920) 429-7489

Registered specialties (2)

Eyewear Supplier Primary
Suppliers Taxonomy 332H00000X
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X

Registry record

NPI
1174233787
Entity type
Organization
NPI issued
5 Dec 2022
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.