| Dr Brian L Meckelberg, OD | |
|
N2577 Plaza Rd, Wautoma, WI 54982-7706 | |
| (920) 787-3837 | |
| (920) 787-1613 |
| Full Name | Dr Brian L Meckelberg |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 42 Years |
| Location | N2577 Plaza Rd, Wautoma, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013993393 | NPI | - | NPPES |
| 38525000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2056 (Wisconsin) | Primary |
| Provider Name | Wautoma Eye Clinic S.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972628584 PECOS PAC ID: 8325234404 Enrollment ID: O20101201000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian L Meckelberg, OD Po Box 366, N2577 Plaza Rd, Wautoma, WI 54982-0366 Ph: (920) 787-3837 | Dr Brian L Meckelberg, OD N2577 Plaza Rd, Wautoma, WI 54982-7706 Ph: (920) 787-3837 |
Dr. Eric Richard Tyler, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: N2577 Plaza Rd # Wi-73, Wautoma, WI 54982 Phone: 651-206-2418 Fax: 651-206-2418 | |
Wisconsin Optometric Eye Doctor, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: N2577 Plaza Rd # Wi-73, Wautoma, WI 54982 Phone: 920-787-3837 | |
Wautoma Eye Clinic S.c. Optometrist Medicare: Medicare Enrolled Practice Location: N2577 Plaza Rd, Wautoma, WI 54982 Phone: 920-787-3837 Fax: 920-787-1613 |