Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2007
NPI: 1942401039
Practice Locations (3)
SHOPTIKAL LLC
1004 18TH AVE NW, SUITE D
AUSTIN, MN 559121993
5074378228
13334 BASS LAKE RD
MAPLE GROVE, MN 553114540
7634961625
SHOPTIKAL LLC
4051 W DIVISION ST, SUITE A
SAINT CLOUD, MN 563013741
3202535994
Source: CMS National Downloadable File, September 2026.