Whalio Doctors

NPI 1750025680

Shoptikal LLC

Organisation Eyewear Supplier Detroit Lakes, MN

Practice location

Address
830 Washington Ave, Detroit Lakes, MN 56501-3014
Phone
(218) 847-2127
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
1750025680
Entity type
Organization
NPI issued
26 Apr 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.