Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shoptikal LLC

Organization Optometrist · NPI 1063078442

Shoptikal LLC is an Optometrist in Coeur D Alene, Idaho. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

212 W Ironwood Dr Ste B&c
Coeur D Alene, ID 83814-1403
Phone: (208) 765-8078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X
Optometrist Taxonomy 152W00000X

Record details

NPI number1063078442
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Eisen — Evp & Cfo · (920) 429-7549
Other names Shopko Optical 4069; Shopko Optical 4069
NPI enumeratedMay 11, 2019
Last updated in NPPESNovember 29, 2024
Certification dateNovember 29, 2024
Mailing addressPo Box 19060, Green Bay, WI 54307-9060

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