Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1989
NPI: 1396714812
Practice Locations (2)
SHOPTIKAL LLC
6000 MONONA DR, SUITE 101
MONONA, WI 537163329
6082229420
SHOPTIKAL LLC
101 N WESTERN AVE, SUITE 101
WAUPACA, WI 549812201
5344002068
Source: CMS National Downloadable File, September 2026.