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Organization

SHOPTIKAL LLC

Active
Other names
Shopko Optical 4276
Organization subpart
No

Provider details

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

Contact information

Practice address
1094 HIGHWAY 15 S STE 103, HUTCHINSON, MN 55350-3169
(320) 587-2370
Mailing address
PO BOX 19060, GREEN BAY, WI 54307-9060
(920) 429-7285

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
04/26/2022
Last updated
04/07/2025
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