Medical school: UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated: 2007
NPI: 1043403967
Practice Locations (2)
SHOPTIKAL LLC
10996 N PORT WASHINGTON RD
MEQUON, WI 530925031
2622409870
SHOPTIKAL LLC
352 S 18TH AVE
WAUSAU, WI 544014251
7158428040
Source: CMS National Downloadable File, September 2026.