OrganizationActive
Shoptikal LLC
NPI 1790459063 · Eyewear Supplier · Faribault, MN
Provider details
- NPI number
- 1790459063
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Russell Steinhorst, Evp & Cfo(920) 429-7489
Specialties & taxonomies
Suppliers
- Optometrist152W00000X
Eye and Vision Services Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 Western Ave Nw Ste 100 1/2
Faribault, MN 55021-4528
Phone: (920) 429-2211
Street-level locationGet directions
Mailing address
Po Box 19060
Green Bay, WI 54307-9060
Other names (DBA / former)
- Doing business as
- Shopko Optical 4253
- Doing business as
- Shopko Optical 4253
Registry dates
- Enumerated
- 2021-08-02
- Last updated
- 2024-11-29
- Certified
- 2024-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.