Organization
SHOPTIKAL LLC
Active
Other names
Shopko Optical 4309
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL STEINHORST (CFO)
(920) 429-7489
Entity
Organization
Contact information
Practice address
2325 NEVA RD, ANTIGO, WI 54409-2912
(715) 623-3620
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
05/08/2025
Last updated
09/08/2025
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