Organization
SHOPTIKAL LLC
Active
Other names
Shopko Optical 4011
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL STEINHORST (CEO)
(920) 429-7489
Entity
Organization
Contact information
Practice address
W8159 S US HIGHWAY 2/141 STE 102, IRON MOUNTAIN, MI 49801-9423
(906) 779-9164
(906) 774-5547
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
05/10/2019
Last updated
10/16/2025
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