Mergenthaler Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3359-35 Issued in WI

Legal business name

MERGENTHALER EYE CARE, LLC

Practice address

3649 S Hastings Way
Target Optical #4150
Eau Claire, WI 54701-8182

Phone

(715) 838-0462

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mathew Bryan Mergenthaler, O.D.

Title

Owner/Optometrist

Phone

(608) 790-5851

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1760877575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 E LARKSPUR LN",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 S HASTINGS WAY",
            "address_2": "TARGET OPTICAL #4150",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018182",
            "telephone_number": "715-838-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERGENTHALER EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "MERGENTHALER",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "608-790-5851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3359-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.