Mauston Family Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MAUSTON FAMILY EYECARE, LLC

Practice address

201 E State St
Mauston, WI 53948-1346

Phone

(608) 847-6264

NPI assigned

Nov 22, 2019

Organization subpart

No

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

Authorized official

Name

Christine Ferchoff RennerNPI 1558343251

Title

Owner

Phone

(608) 847-6264

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Christine Ferchoff Renner, O.D.

  • Optometrist
  • Mauston, WI
  • NPI 1558343251
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1932745163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E STATE ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481346",
            "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": "201 E STATE ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481346",
            "telephone_number": "608-847-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUSTON FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "FERCHOFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-847-6264"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Marculis, D.O.
• Jolene J Marquart, MSW
• August J. Martin, CRNA
• Mary Elizabeth Marty, R.N.
• Mauston Area Ambulance Association Inc
• Mauston School District
• Carol A Mazur, RN
• MBMC Mauston Phillips LLC (Mile Bluff Pharmacy)
• Kelly Lynn McCann, RN
• Veronica McCarthy, LCSW

• 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 Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.