Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1988
NPI: 1285675827
Practice Locations (2)
SHOPTIKAL LLC
1741 E GENEVA ST, SUITE 800
DELAVAN, WI 531152048
2627280068
SHOPTIKAL LLC
6000 MONONA DR, SUITE 101
MONONA, WI 537163329
6082229420
Source: CMS National Downloadable File, September 2026.