Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 2008
NPI: 1205090990
Practice Locations (2)
SHOPTIKAL LLC
3525 E CALUMET ST, SUITE 1400
APPLETON, WI 549154181
9207884114
SHOPTIKAL LLC
6000 MONONA DR, SUITE 101
MONONA, WI 537163329
6082229420
Source: CMS National Downloadable File, September 2026.