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Contact Information

SHOPTIKAL LLC
1440 CAPITAL DRIVE
SUITE B
PEWAUKEE, WI53072
 Phone: 920-429-2211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SHOPTIKAL LLC

NPI # 1932767316
LBN Legal business name SHOPTIKAL LLC
Authorized official RUSSELL STEINHORST - (EVP & CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2019
Last updated 11/29/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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