SHOPTIKAL LLC (NPI# 1982260352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982260352 |
| Entity Type | Organization |
| Organization Name | SHOPTIKAL LLC |
| Other Organization Name | SHOPKO OPTICAL 4028 |
| Practice Address |
3525 E Calumet St Ste 1400 Appleton WI 54915-4181 |
| Mailing Address |
Po Box 19060 Green Bay WI 54307-9060 |
| Practice Telephone | 9207884114 |
| Enumeration Date | 2019-05-11 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | RUSS STEINHORST (CEO) |
| Authorized Official Telephone | 9204297842 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Shopko Optical 4028 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658772 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1073 E Johnson St, Fond Du Lac, WI 54935-8919 | 2020-10-27 |
| 1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
| 1578170247 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 120 N Grand Ave Ste 102, Sun Prairie, WI 53590-9007 | 2020-09-28 |
| 1174138168 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1550 W Lane Rd, Machesney Park, IL 61115-1903 | 2020-09-15 |
| 1639784622 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2268 W Mason St, Green Bay, WI 54303-4707 | 2020-09-15 |
| 1588279566 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1190 S Randall Rd Ste 104, Elgin, IL 60123-4110 | 2020-09-15 |
| 1427669746 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1607 Losey Blvd S, La Crosse, WI 54601-6151 | 2020-08-11 |
| 1710598032 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 631 Hometown Cir Ste 106, Verona, WI 53593-1561 | 2020-08-11 |
| 1457989006 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3330 E 10th St, Sioux Falls, SD 57103-2107 | 2020-03-30 |
| 1710512801 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9940 Rt 47, Huntley, IL 60142 | 2020-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SHOPTIKAL LLC | 700 Pilgrim Way, Green Bay, WI 54304 |
| Iowa Business Entities | SHOPTIKAL LLC | 700 Pilgrim Way, Green Bay, WI 54304 |
| Washington State Corporations | SHOPTIKAL LLC | 700 Pilgrim Way, Green Bay, WI 54304-5263 |
| Street Address |
3525 E CALUMET ST STE 1400 |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-4181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871159244 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1490 Oneida St, Appleton, WI 54915-7100 | 2019-05-11 |
| 1174622583 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall #144, Appleton, WI 54913-8605 | 2006-09-22 |
| 1508422924 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1033 W Northland Ave Ste B, Appleton, WI 54914-1499 | 2019-05-10 |
| 1942793179 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 2101 E Evergreen Dr, Appleton, WI 54913-9001 | 2018-06-12 |
| 1265830301 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2600 W College Ave, Suite 1a, Appleton, WI 54914-4200 | 2014-12-05 |
| 1588993711 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall, Appleton, WI 54913-8605 | 2009-12-17 |
| 1114100518 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | W3208 Van Roy Rd, Appleton, WI 54915 | 2007-12-10 |
| 1114075975 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall, Appleton, WI 54913-8605 | 2007-01-08 |
| 1043386600 | Optivision Eye Care LLP | Eyewear Supplier (Equipment, not the service) | 223 S Nicolet Rd, Appleton, WI 54914-3938 | 2006-11-27 |
| 1245328616 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall #812, Appleton, WI 54913-8605 | 2006-10-11 |
| Find all providers in APPLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.