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Organization

SHOPTIKAL LLC

Active
Other names
Shopko Optical 4041
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL STEINHORST (EVP & CFO)
(920) 429-7489
Entity
Organization

Contact information

Practice address
1004 18TH AVE NW STE D, AUSTIN, MN 55912-1993
(507) 437-8228
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
05/11/2019
Last updated
11/29/2024
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