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

Shoptikal LLC

Organization Optometrist · NPI 1154987576

Shoptikal LLC is an Optometrist in Beaver Dam, Wisconsin. 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

820 Park Ave Ste I
Beaver Dam, WI 53916-2265
Phone: (920) 887-3791
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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 number1154987576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Steinhorst — Evp & Cfo · (920) 429-7489
Other names Shopko Optical 4014; Shopko Optical 4014
NPI enumeratedMay 10, 2019
Last updated in NPPESNovember 29, 2024
Certification dateNovember 29, 2024
Mailing addressPo Box 19060, Green Bay, WI 54307-9060

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