NPI 1205492675
Shoptikal LLC
Practice location
- Address
- N6663 Rolling Meadows Dr STE I, Fond Du Lac, WI 54937-9501
- Phone
- (920) 921-8290
- 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
Optometrist
Registry record
- NPI
- 1205492675
- 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.