Organization
MAUSTON FAMILY EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE FERCHOFF RENNER (OWNER)
(608) 847-6264
Entity
Organization
Contact information
Practice address
201 E STATE ST, MAUSTON, WI 53948-1346
(608) 847-6264
Mailing address
201 E STATE ST, MAUSTON, WI 53948-1346
(608) 847-6264
(608) 847-7279
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
04/25/2024
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