Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1998
NPI: 1710045927
Practice Locations (2)
SHOPTIKAL LLC
3525 E CALUMET ST, SUITE 1400
APPLETON, WI 549154181
9207884114
607 WILSON ST
LITTLE CHUTE, WI 541401856
9207884162
Source: CMS National Downloadable File, September 2026.