Eyewear Supplier (Equipment, not the service)
SHOPTIKAL LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1063078442 · enumerated 2019-05-11 · record updated 2024-11-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JAMES EISEN, EVP & CFO · (920) 429-7549
Other names: SHOPKO OPTICAL 4069
Addresses and phones
- Practice location 212 W IRONWOOD DR STE B&C, COEUR D ALENE, ID, 83814-1403 (208) 765-8078 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 19060, GREEN BAY, WI, 54307-9060 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X
- Eyewear Supplier (Equipment, not the service) 332H00000X · Primary
In this directory
ID Kootenai County Coeur D Alene Eyewear Supplier (Equipment, not the service)
Locations and evidence
-
Practice location
COEUR D ALENE, ID, 838141403
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.