| Dr Mary Ellen Teclaw, OD | |
|
17495 W Capitol Dr, Suite D, Brookfield, WI 53045-2059 | |
| (262) 797-9638 | |
| Not Available |
| Full Name | Dr Mary Ellen Teclaw |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 10 Years |
| Location | 17495 W Capitol Dr, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750824959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3440-35 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Olson Eye Care Llc | 5294818589 | 5 |
| Provider Name | Phillip E Roy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750406781 PECOS PAC ID: 1153488341 Enrollment ID: I20090313000414 |
| Provider Name | Olson Eye Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215119789 PECOS PAC ID: 5294818589 Enrollment ID: O20080208000591 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Ellen Teclaw, OD 503 Commerce Dr, Madison, WI 53719-4941 Ph: (608) 833-0062 | Dr Mary Ellen Teclaw, OD 17495 W Capitol Dr, Suite D, Brookfield, WI 53045-2059 Ph: (262) 797-9638 |
Brookfield Vision Center, S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 19035 W Capitol Dr, Suite 106, Brookfield, WI 53045 Phone: 262-754-4880 Fax: 262-754-9814 | |
Reverie Optique Optometrist Medicare: Medicare Enrolled Practice Location: 2205 N Calhoun Rd Ste 16, Brookfield, WI 53005 Phone: 262-786-4144 Fax: 262-786-4729 | |
Dr. Kamaldeep S Toor, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17495 W Capitol Dr, Brookfield, WI 53045 Phone: 262-797-9638 | |
Dr. Saly Thi Tran, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 19035 W Capitol Dr, Suite 106, Brookfield, WI 53045 Phone: 262-754-4880 Fax: 262-754-9814 | |
Alexandra Brandt, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 17495 W Capitol Dr Ste D, Brookfield, WI 53045 Phone: 262-797-9638 Fax: 262-797-9648 | |
Christina Collins, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13965 W. Burleigh Rd, Suite 108, Brookfield, WI 53005 Phone: 262-505-5440 | |
Dr. Rachel Paul, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16970a W Bluemound Rd, Brookfield, WI 53005 Phone: 262-784-8120 |