Organization
SHOPTIKAL LLC
Active
Other names
Shopko Optical 4319
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL STEINHORST (CEO)
(920) 429-7285
Entity
Organization
Contact information
Practice address
1307 E EAGLE MOUNTAIN BLVD, EAGLE MOUNTAIN, UT 84005
(920) 429-2211
Mailing address
PO BOX 19060, GREEN BAY, WI 54307-9060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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