SHOPTIKAL LLC NPI 1508422924

NPI Information

NPI: 1508422924
Provider Name: SHOPTIKAL LLC

Doing Business As: SHOPKO OPTICAL 4015

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1033 W NORTHLAND AVE STE B
APPLETON, WI
ZIP 54914
Phone: (920) 731-4511
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SHOPTIKAL LLC is an eyewear supplier in Appleton, WI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SHOPTIKAL LLC NPI is 1508422924. The provider is registered as an organization entity type.
The provider Is Doing Business As Shopko Optical 4015.

The provider's business location address is:

1033 W NORTHLAND AVE STE B
APPLETON, WI
ZIP 54914-499
Phone: (920) 731-4511

The provider's authorized official is Russell Steinhorst .
The authorized official title is Ceo and has the following contact phone number (920) 429-7489.

The enumeration date for this NPI number is 5/10/2019 and was last updated on 11/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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