Individual provider Active NPI

Mathew Bryan Mergenthaler, O.D.

  • Optometrist
  • Medford, WI
National Provider Identifier
1568874907
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3359 Issued in WI
Practice address
671 S Gibson St
Medford, WI 54451-1631
Phone
(608) 790-5851
NPI assigned
May 20, 2014
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3359 WI Primary
Optometrist 152W00000X 073539 IA

Addresses

Primary practice location

671 S Gibson St
Medford, WI 54451-1631

Mailing address

671 S Gibson St
Medford, WI 54451-1631
Phone (608) 790-5851

Other identifiers 1

IdentifierTypeStateIssuer
100039841MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140905001952 WI Practitioner - Optometry 8921226879 Reassigns benefits to 3 organizations
I20260126001556 MN Practitioner - Optometry 8921226879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthview Eye Care Center, SCGroup PAC ID 5890769368, 5 clinicians
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians
Healthview Eye Care Center-Medford SCGroup PAC ID 7810961471, 6 clinicians

Practice addresses (Care Compare)

120 Dehne Dr
Suite G
Colby, WI 54421-9589
Phone (715) 223-4003

1459 W Service Dr
Winona, MN 55987-2512
Phone (507) 452-6175

1607 Losey Blvd S
La Crosse, WI 54601-6151
Phone (608) 459-1920

353 N 8TH St
Medford, WI 54451-1515
Phone (715) 748-2020

Merit-based Incentive Payment System (MIPS)

Final score
99.67 of 100Reported as group
Quality
90.74
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.17 of 100Reported as group
Quality
80.34
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4034MNMDMarriage & Family Therapist
073539IAMDOptometrist
3359WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthview Eye Care Center-Medford SC Optometrist CurrentSince Sep 18, 2018 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Oct 27, 2025 Accepting new patients
Healthview Eye Care Centers, SC Optometrist CurrentSince Sep 18, 2018 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Shoptikal LLC Optometrist CurrentSince Dec 3, 2025 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Oct 27, 2025 Accepting new patients

Locations

1004 18th Ave NW
Ste D
Austin, MN 55912
Phone (507) 437-8228

1459 W Service Dr
Winona, MN 55987
Phone (507) 452-6175

120 Dehne Dr
Ste G
Colby, WI 54421
Phone (715) 223-4003

1607 Losey Blvd S
La Crosse, WI 54601
Phone (608) 459-1920

309 E Broadway Ave
Medford, WI 54451
Phone (715) 748-2020

6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1568874907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 S GIBSON ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511631",
            "telephone_number": "608-790-5851",
            "fax_number": "715-748-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 S GIBSON ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511631",
            "telephone_number": "608-790-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERGENTHALER",
        "first_name": "MATHEW",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-20",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3359",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "073539",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100039841",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, WI

Sources for this page

Verify at the official NPI Registry.