Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1994
NPI: 1407966658
Practice Locations (3)
SHOPTIKAL LLC
1033 W NORTHLAND AVE, SUITE B
APPLETON, WI 549141499
9207314511
SHOPTIKAL LLC
1490 ONEIDA ST
APPLETON, WI 549157100
9207253752
SHOPTIKAL LLC
6000 MONONA DR, SUITE 101
MONONA, WI 537163329
6082229420
Source: CMS National Downloadable File, September 2026.