SHOPTIKAL LLC (NPI# 1114583507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114583507 |
| Entity Type | Organization |
| Organization Name | SHOPTIKAL LLC |
| Other Organization Name | SHOPKO OPTICAL 4171 |
| Practice Address |
174 Crossroads Dr Plover WI 54467-4122 |
| Mailing Address |
Po Box 19060 Green Bay WI 54307-9060 |
| Practice Telephone | 7153429634 |
| Enumeration Date | 2019-05-12 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | JAMES EISEN (OPERATING PARTNER) |
| Authorized Official Telephone | 9204297549 |
| 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 4171 | 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 |
174 CROSSROADS DR |
| City | PLOVER |
| State | WI |
| Zip Code | 54467-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255951943 | Spine Quest LLC | Chiropractor | 1837 Park Ave, Plover, WI 54467 | 2020-04-22 |
| 1831691682 | Accuquest Hearing Center, LLC. | Clinic/Center | 2026 County Highway Hh, Plover, WI 54467 | 2018-03-07 |
| 1477900710 | Bjosc, LLC | Clinic/Center | 1767 Park Av, Plover, WI 54467 | 2016-05-17 |
| 1861813297 | Lynn Kuklinski | Assisted Living Facility | 1592 Okray Ave., Plover, WI 54467 | 2014-01-03 |
| 1700131893 | Alyssa Marie Lenze | Registered Nurse | 711 Eighth St, Plover, WI 54467 | 2012-07-16 |
| 1508031063 | Carolyn Klein | Speech-Language Pathologist | 4880 River Drive, Plover, WI 54467 | 2008-04-25 |
| 1154595841 | Lotus Healing Arts LLC | Chiropractor | 2610 Post Road, Plover, WI 54467 | 2008-04-15 |
| 1699969022 | C. Thomas Deroche, Dpm, LLC | Podiatrist | 2020 County Rd Hh, Plover, WI 54467 | 2007-08-29 |
| 1174688683 | Anegundi K Nagendra | Urology | 2080 Windsor Court # 3, Plover, WI 54467 | 2006-12-26 |
| 1083776736 | Mark F Fenlon | Family Medicine | 2401 Plover Road, Plover, WI 54467 | 2006-12-15 |
| Find all providers in zip 54467 | ||||
| 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 |
|---|---|---|---|---|
| 1578516936 | Shopko Stores Operating Co. LLC | Eyewear Supplier (Equipment, not the service) | 1800 Plover Rd, Plover, WI 54467-3978 | 2006-05-18 |
| 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 |
| 1578170247 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 120 N Grand Ave Ste 102, Sun Prairie, WI 53590-9007 | 2020-09-28 |
| 1639784622 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2268 W Mason St, Green Bay, WI 54303-4707 | 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 |
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1558903815 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 422 Gammon Pl, Madison, WI 53719-1026 | 2019-10-08 |
| 1669013256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 123 N Mall Dr, Grand Chute, WI 54913-8531 | 2019-10-04 |
| 1952962763 | Martell Eyecare, LLC | Eyewear Supplier (Equipment, not the service) | 703 Third Street, Marathon, WI 54448 | 2019-06-23 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
| Find all providers with the same taxonomy | ||||
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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.