Shoptikal LLC
NPI #1154987576 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1154987576
- Entity Type
- Organization
- Organization Name
- Shoptikal LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- May 10, 2019
- Last Updated
- Nov 29, 2024
Practice Location
- Address
- 820 PARK AVE STE I
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-2265
- Phone
- (920) 887-3791
Authorized Official
- Name
- RUSSELL STEINHORST
- Title
- EVP & CFO
- Phone
- (920) 429-7489
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
| Eyewear Supplier |
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