Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2022
NPI: 1619604972
Practice Locations (2)
SHOPTIKAL LLC
1210 12TH AVE
GRAFTON, WI 530241924
2623776800
SHOPTIKAL LLC
6000 MONONA DR, SUITE 101
MONONA, WI 537163329
6082229420
Source: CMS National Downloadable File, September 2026.