# FOX CITIES EYE CLINIC, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316969363
- **Authorized official:** DR. MARK C AUSTIN MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (920) 734-8714

## Contact information

- **Practice address:** 1301 E NORTHLAND AVE STE A, APPLETON, WI 54911-8582
- **Practice address phone:** (920) 734-8714
- **Mailing address:** 1301 E NORTHLAND AVE STE A, APPLETON, WI 54911-8582
- **Mailing address phone:** (920) 734-8714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 11/25/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 32890500 | — | WI |
| 01 | — | CH2565 | RAILROAD MEDICARE | WI |