MEDICARE: SHOPTIKAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist
2	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1730823667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHOPTIKAL LLC

Provider Business Mailing Address
First Line	:	PO BOX 19060
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54307-9060
Country	:	US
Telephone Number	:	920-429-7285
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 ATLANTIC AVE
Second Line	:
City	:	MORRIS
State	:	MN
Zip	:	56267-1365
Country	:	US
Telephone Number	:	320-589-1300
Fax Number	:

Authorized Official
Title or Position	:	EVP & CFO
Name	:	RUSSELL STEINHORST
Credential	:
Telephone Number	:	920-429-7489

Provider Enumeration Date	:	04/26/2022
Last Update Date	:	11/29/2024

Similar Medicare Providers

1730349366 — MS. MARY SARITHA RAJ OTR
Practice Location Address:

102 S MULBERRY AVE
MOUNT MORRIS, IL
61054-1365

Practice Phone: 815-483-3068
Practice Fax:

1467825869 — DENVILLE TOWNSHIP BOE
Practice Location Address:

400 MORRIS AVE STE 279
DENVILLE, NJ
07834-1365

Practice Phone: 973-983-6530
Practice Fax: 973-784-4778

1194400770 — MARIE-ALICE STOUT LCADC, LSW
Practice Location Address:

55 AVIGNON DR
MORRIS PLAINS, NJ
07950-1365

Practice Phone: 201-478-1043
Practice Fax:

1730032665 — MRS. ALI ANN KUUSISTO LMFT
Practice Location Address:

400 E 1ST ST
MORRIS, MN
56267-1408

Practice Phone: 320-589-1313
Practice Fax:

1508602657 — MORGAN REIMERS
Practice Location Address:

1100 COURT DR
MORRIS, MN
56267-4722

Practice Phone: 320-585-5395
Practice Fax:

1407708373 — STOTTLER MANAGEMENT
Practice Location Address:

210 ATLANTIC AVE
MORRIS, MN
56267-1321

Practice Phone: 320-589-1541
Practice Fax:

Directions to “SHOPTIKAL LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.