Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 2007
NPI: 1912105255
Practice Locations (2)
SHOPTIKAL LLC
N6663 ROLLING MEADOWS DR, SUITE I
FOND DU LAC, WI 549379501
9209218290
SHOPTIKAL LLC
6000 MONONA DR, SUITE 101
MONONA, WI 537163329
6082229420
Source: CMS National Downloadable File, September 2026.