Monique Nicole Bennett Fasbender, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3667-35 Issued in WI

Practice address

251 2ND St
Reedsburg, WI 53959-1610

Phone

(608) 524-4334

Fax

(608) 524-4335

NPI assigned

Nov 13, 2014

Last updated

Aug 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, WI2 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

Specialty

Optometry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

May Vision Center LLCGroup PAC ID 4486658242, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• May Vision Center, LLC

  • Optometrist
  • Waunakee, WI
  • NPI 1093737108
  Medicare reassignment Care Compare group NPD
• Mann Eye Center, PA

  dba Mann Eye Institute

  • Clinic/Center
  • Liberty, TX
  • NPI 1659384717
  NPD (past)

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1962808295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 2ND ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591610",
            "telephone_number": "608-524-4334",
            "fax_number": "608-524-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 2ND ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591610",
            "telephone_number": "608-524-4334",
            "fax_number": "608-524-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT FASBENDER",
        "first_name": "MONIQUE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8606T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3667-35",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "8606T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRIC LICENSE",
            "identifier": "8606T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN OPTOMETRIC LICENSE",
            "identifier": "3667-35",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kate Baniel, PA-C
• Brianna Mary Annette Bartels Rohrbeck, PH.D.
• Keely E. Bauer, M.S., CCC-SLP
• Deanna Dawn Benish, M.D.
• Steven Garritt Benish, PH.D.
• Diane Bindl, CNM
• Christopher G Bjorklund, CRNA
• Madelynn Marie Bockman
• Molly Lynn Bonlender, MSW, APSW
• Victoria Lynn Braun

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.