Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1984
NPI: 1013994524
Practice Locations (2)
SHOPTIKAL LLC
1073 E JOHNSON ST
FOND DU LAC, WI 549358919
9203755483
SHOPTIKAL LLC
6000 MONONA DR, SUITE 101
MONONA, WI 537163329
6082229420
Source: CMS National Downloadable File, September 2026.