NPIMap

Organization Active NPI

Ocufocus of Janesville, L.L.C.

  • Optometrist
  • Madison, WI
National Provider Identifier
1750519716
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3146-35 Issued in WI
Legal business name
OCUFOCUS OF JANESVILLE, L.L.C.
Practice address
5501 Lake Mendota Dr
Madison, WI 53705-1248
Phone
(608) 239-1218
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Dr. Jeremy Michael Goetsch, O.D.NPI 1467696526
Title
President
Phone
(608) 239-1218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3146-35 WI Primary

Addresses

Primary practice location

5501 Lake Mendota Dr
Madison, WI 53705-1248

Mailing address

5501 Lake Mendota Dr
Madison, WI 53705-1248
Phone (608) 239-1218

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1750519716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 LAKE MENDOTA DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537051248",
            "telephone_number": "608-239-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 LAKE MENDOTA DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537051248",
            "telephone_number": "608-239-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCUFOCUS OF JANESVILLE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "GOETSCH",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-239-1218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3146-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.