John W. Schaefer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1761 Issued in WI

Legal business name

JOHN W. SCHAEFER, O.D.

Practice address

205 Division St.
Mauston, WI 53948-2109

Phone

(608) 847-6264

Fax

(608) 847-7279

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John W. Schaefer, O.D.

Title

Owner

Phone

(608) 847-6264

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1871769646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 DIVISION ST.",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539482109",
            "telephone_number": "608-847-6264",
            "fax_number": "608-847-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 DIVISION ST.",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539482109",
            "telephone_number": "608-847-6264",
            "fax_number": "608-847-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. SCHAEFER, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-847-6264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38516200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inside/Out Clinical Psychology Services, LLC
• Teresa Lynn Jacobson, MSW, LSW, CAPSW
• Susan Joy Jensen, SW
• Bobbi Jo Jewison
• Lynne R Jindrick, SAC
• Elizabeth Johnson
• Shawn Johnson
• Kelly Jossart, APNP, PMHNP-BC
• Ann Marie June, SW
• Juneau County

• Optometrist in Mauston, WI
• Providers in Mauston, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.