Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1999
NPI: 1114074416
Practice Locations (3)
SHOPTIKAL LLC
N6663 ROLLING MEADOWS DR, SUITE I
FOND DU LAC, WI 549379501
9209218290
SHOPTIKAL LLC
123 N MALL DR
GRAND CHUTE, WI 549138531
9209398211
SHOPTIKAL LLC
6000 MONONA DR, SUITE 101
MONONA, WI 537163329
6082229420
Source: CMS National Downloadable File, September 2026.