Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 2018
NPI: 1457843161
Practice Locations (2)
SHOPTIKAL LLC
2360 COSTCO WAY, SUITE 120
GREEN BAY, WI 543119210
9204684642
SHOPTIKAL LLC
6000 MONONA DR, SUITE 101
MONONA, WI 537163329
6082229420
Source: CMS National Downloadable File, September 2026.