| Wisconsin Optometric Eye Doctor, Inc. | |
|
N2577 Plaza Rd # Wi-73, Wautoma, WI 54982-7706 | |
| (920) 787-3837 | |
| Not Available |
| Full Name | Wisconsin Optometric Eye Doctor, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | N2577 Plaza Rd # Wi-73, Wautoma, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437768876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Optometric Eye Doctor, Inc. N2577 Plaza Rd # Wi-73, Wautoma, WI 54982-7706 Ph: (920) 787-3837 | Wisconsin Optometric Eye Doctor, Inc. N2577 Plaza Rd # Wi-73, Wautoma, WI 54982-7706 Ph: (920) 787-3837 |
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 | |
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 |