Organization
SHOPTIKAL LLC
Active
Other names
Shopko Optical 4301
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL STEINHORST (EVP & CFO)
(920) 429-7489
Entity
Organization
Contact information
Practice address
4511 VANGUARD DR, SHEBOYGAN, WI 53083-6068
(920) 429-2211
Mailing address
PO BOX 19060, GREEN BAY, WI 54307-9060
(920) 429-2211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/29/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up