Brian L Meckelberg in Wautoma - Optometrist
Brian L Meckelberg - NPI 1013993393
Brian L Meckelberg is a Optometrist in Wautoma, Wisconsin. Brian L Meckelberg practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Brian L Meckelberg is 1013993393. The last update date is 2010-07-13.
Brian L Meckelberg's current location address is Po Box 366, Wautoma, Wisconsin. You can contact this provider via phone number 9207873837 and fax number 9207871613. The mailing address for Brian L Meckelberg is Po Box 366, Wautoma, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian L Meckelberg |
|---|---|
| Address | Po Box 366, Wautoma, Wisconsin |
| Phone Number | 9207873837 |
| Fax Number | 9207871613 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1013993393 |
|---|---|
| Provider Enumeration Date | 2005-12-19 |
| Last Updated Date | 2010-07-13 |
Provider Mailing Address Detail
| Address | Po Box 366 |
|---|---|
| City | Wautoma |
| State | Wisconsin (WI) |
| Post Code | 549820366 |
| Phone Number | 9207873837 |
| Fax Number | 9207871613 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2056 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38525000 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brian L Meckelberg by the Centers for Medicare & Medicaid Services?
The Brian L Meckelberg has been assigned the NPI (National Provider Identifier) 1013993393 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Brian L Meckelberg?
The Brian L Meckelberg is situated at Po Box 366, in the city of Wautoma, state of WI, with the zip code 549820366.
What is Brian L Meckelberg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brian L Meckelberg is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013993393 to Brian L Meckelberg?
The Centers for Medicare & Medicaid Services assigned the 1013993393 to Brian L Meckelberg on 2005-12-19.
When was the information related to Brian L Meckelberg most recently updated or refreshed?
The details pertaining to the Brian L Meckelberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-07-13.
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