Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2001
NPI: 1841242369
Practice Locations (2)
SHOPTIKAL LLC
2029 HUMES RD
JANESVILLE, WI 535450275
6087547411
SHOPTIKAL LLC
6000 MONONA DR, SUITE 101
MONONA, WI 537163329
6082229420
Source: CMS National Downloadable File, September 2026.