| Shoptikal Llc | |
|
3500 Dodge St Ste 110b, Dubuque, IA 52003-5208 | |
| (563) 583-5895 | |
| Not Available |
| Full Name | Shoptikal Llc |
|---|---|
| Type | Facility |
| Speciality | Eyewear Supplier |
| Location | 3500 Dodge St Ste 110b, Dubuque, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588220974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
| Provider Name | Gerrie L Lubben |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043202922 PECOS PAC ID: 8921016981 Enrollment ID: I20060713000344 |
| Provider Name | Ben Cannon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770868820 PECOS PAC ID: 6305061136 Enrollment ID: I20140710000933 |
| Provider Name | Brittany J Krause |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801148143 PECOS PAC ID: 4284949645 Enrollment ID: I20150813010604 |
| Provider Name | Theresa M Mccartney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609256627 PECOS PAC ID: 0244549228 Enrollment ID: I20151013001445 |
| Provider Name | Morgan Elizabeth Wichman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003460734 PECOS PAC ID: 6608260658 Enrollment ID: I20220308002155 |
| Provider Name | Tracey Payne |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922140748 PECOS PAC ID: 7214335900 Enrollment ID: I20230424001431 |
| Provider Name | Samantha Jane Thompson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053164525 PECOS PAC ID: 5092257881 Enrollment ID: I20240607002422 |
| Mailing Address | Practice Location Address |
|---|---|
| Shoptikal Llc Po Box 19060, Green Bay, WI 54307-9060 Ph: () - | Shoptikal Llc 3500 Dodge St Ste 110b, Dubuque, IA 52003-5208 Ph: (563) 583-5895 |