Active NPI
Shoptikal LLC
Doing business as Shopko Optical 4319
- Eyewear Supplier
- Eagle Mountain, UT
National Provider Identifier
1003753799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SHOPTIKAL LLC
- Doing business as
- Shopko Optical 4319
- Practice address
- 1307 E Eagle Mountain Blvd
#120
Eagle Mountain, UT 84043 - Phone
- (920) 429-2211
- NPI assigned
- Apr 30, 2026
- Last updated
- Jun 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell Steinhorst
- Title
- Ceo
- Phone
- (920) 429-7285
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
1307 E Eagle Mountain Blvd
#120
Eagle Mountain, UT 84043
Mailing address
PO Box 19060
Green Bay, WI 54307-9060
Other names 1
- Shopko Optical 4319
National Provider Directory
National Provider Directory- Tax ID family
- Shoptikal LLC
Organizations with this tax ID in the same state 6
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
1307 E Eagle Mountain Blvd
#120
Eagle Mountain, UT 84005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781740800000",
"number": "1003753799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19060",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543079060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 E EAGLE MOUNTAIN BLVD",
"address_2": "#120",
"city": "EAGLE MOUNTAIN",
"state": "UT",
"postal_code": "84043",
"telephone_number": "920-429-2211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOPTIKAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-30",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A",
"authorized_official_last_name": "STEINHORST",
"authorized_official_first_name": "RUSSELL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "920-429-7285"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shopko Optical 4319",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Eagle Mountain, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.