Fox Cities Eye Clinic, SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

FOX CITIES EYE CLINIC, SC

Practice address

1301 E Northland Ave Ste a
Appleton, WI 54911-8582

Phone

(920) 734-8714

NPI assigned

Jul 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark C Austin, MD

Title

Physician/Owner

Phone

(920) 734-8714

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1316969363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E NORTHLAND AVE STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118582",
            "telephone_number": "920-734-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E NORTHLAND AVE STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118582",
            "telephone_number": "920-734-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX CITIES EYE CLINIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "920-734-8714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH2565",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32890500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorrie Ann Formella
• Forwardcare Transport LLC
• Heather M Foster, DNP
• Keith Robert Foster, DMD
• Foundra Prime Care LLC
• Fox River Assisted Living & Memory Care, LLC (Fox River)
• Fox River Nursing and Rehab Center LLC
• Fox River Periodontics SC
• Fox Run Dental, LLC
• Fox Valley Dental Assoc. LTD.

• Ophthalmology Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.