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Shoptikal LLC

Eyewear Supplier (Equipment, not the service) in Kenosha, WI. Organization (NPI-2).

NPI number1659005262
StatusActive
Last updated in NPPESNov 29, 2024

Details

NPI
1659005262
Entity type
Organization (NPI-2)
Legal business name
Shoptikal LLC
Organization subpart
No
Enumeration date
Jul 11, 2022
Certification date
Nov 29, 2024
Last updated
Nov 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes
152W00000X Optometrist––

Other names

  • Shopko Optical 4289 (Doing Business As)

Practice location

6935 75th St
Kenosha, WI 53142-3531

Phone 920-429-2211

Mailing address

Po Box 19060
Green Bay, WI 54307-9060

Phone 920-429-7285

Authorized official

Russell Steinhorst
Evp & Cfo
9204297489

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Other Eyewear Supplier providers in Kenosha, WI

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