Active NPI
Shoptikal LLC
Doing business as Shopko Optical 4269
- Eyewear Supplier
- Marshall, MN
National Provider Identifier
1487390837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SHOPTIKAL LLC
- Doing business as
- Shopko Optical 4269
- Practice address
- 1113 E College Dr
Marshall, MN 56258-3904 - Phone
- (507) 532-5771
- NPI assigned
- May 9, 2022
- 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
- Evp & Cfo
- Phone
- (920) 429-7489
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
1113 E College Dr
Marshall, MN 56258-3904
Mailing address
PO Box 19060
Green Bay, WI 54307-9060
Phone (920) 429-7285
Other names 1
- Shopko Optical 4269
National Provider Directory
National Provider Directory- Tax ID family
- Shoptikal LLC
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732838400000",
"number": "1487390837",
"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",
"telephone_number": "920-429-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 E COLLEGE DR",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562583904",
"telephone_number": "507-532-5771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOPTIKAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-09",
"last_updated": "2024-11-29",
"certification_date": "2024-11-29",
"status": "A",
"authorized_official_last_name": "STEINHORST",
"authorized_official_first_name": "RUSSELL",
"authorized_official_title_or_position": "EVP & CFO",
"authorized_official_telephone_number": "920-429-7489"
},
"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 4269",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Shopko Optical 4269",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marshall, MN
- Sharyce Marie Audiology Inc (Hearing and Speech Center)
- Sherman Chiropractic and Rehabilitation
- Jason Leslie Sherman, D.C.
- Shopko Stores Operating Co LLC (ShopKo Pharmacy 025)
- Shopko Stores Operating Co. LLC (ShopKo Optical 025)
- Shoptikal LLC (Shopko Optical 4025)
- Molly C. Sichterman, O.T.
- Natasha Sik
- Shannon A Sinclair, LMFT
- Victoria Skorczewski, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.