| Dr Eric Richard Tyler, O D | |
|
N2577 Plaza Rd # Wi-73, Wautoma, WI 54982-7706 | |
| (651) 206-2418 | |
| (651) 206-2418 |
| Full Name | Dr Eric Richard Tyler |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 27 Years |
| Location | N2577 Plaza Rd # Wi-73, 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 |
|---|---|---|---|
| 1285652826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC3617 (Florida) | Secondary |
| 152W00000X | Optometrist | LD28450000 (Minnesota) | Secondary |
| 152W00000X | Optometrist | 2867-35 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Point Optical Group | 9032491246 | 24 |
| Provider Name | Minnesota Optometric Eye Doctor, P.a. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316443542 PECOS PAC ID: 8628329992 Enrollment ID: O20180925004245 |
| Provider Name | West Point Optical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831548890 PECOS PAC ID: 9032491246 Enrollment ID: O20230525001518 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric Richard Tyler, O D 2577 Plaza Rd Wi-73, Wautoma, WI 54982 Ph: (651) 206-2418 | Dr Eric Richard Tyler, O D N2577 Plaza Rd # Wi-73, Wautoma, WI 54982-7706 Ph: (651) 206-2418 |
Dr. Brian L Meckelberg, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: N2577 Plaza Rd, Wautoma, WI 54982 Phone: 920-787-3837 Fax: 920-787-1613 | |
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 |