NPI 1194381509
Shoptikal LLC
Practice location
- Address
- 2314 Lineville Rd STE 104, Green Bay, WI 54313-8860
- Phone
- (920) 434-5845
- Mailing address
- P.O. Box 19060, Green Bay, WI 54307
Authorised official
- Name
- Russ Steinhorst
- Title
- Evp & Cfo
- Phone
- (920) 429-7842
Registered specialties (2)
Eyewear Supplier
Primary
Optometrist
Registry record
- NPI
- 1194381509
- Entity type
- Organization
- NPI issued
- 13 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.