Wautoma Eye Clinic S.C. in Wautoma - Optometrist
Wautoma Eye Clinic S.C. - NPI 1972628584
Wautoma Eye Clinic S.C. is a Optometrist in Wautoma, Wisconsin. Wautoma Eye Clinic S.C. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Wautoma Eye Clinic S.C. is 1972628584. The last update date is 2020-08-22.
Wautoma Eye Clinic S.C.'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 Wautoma Eye Clinic S.C. is Po Box 366, Wautoma, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wautoma Eye Clinic S.C. |
|---|---|
| Address | Po Box 366, Wautoma, Wisconsin |
| Phone Number | 9207873837 |
| Fax Number | 9207871613 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Meckelberg L. Brian |
| Credentials | OD |
| Telephone Number | 9207873837 |
NPI Number Detail
| NPI Number | 1972628584 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-08-22 |
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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What is the unique identifier code issued to Wautoma Eye Clinic S.C. by the Centers for Medicare & Medicaid Services?
The Wautoma Eye Clinic S.C. has been assigned the NPI (National Provider Identifier) 1972628584. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wautoma Eye Clinic S.C.'s physical address?
The Wautoma Eye Clinic S.C. is physically located at Po Box 366, in the city of Wautoma, WI, with the postal code 549820366.
What is Wautoma Eye Clinic S.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wautoma Eye Clinic S.C. is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972628584 to Wautoma Eye Clinic S.C.?
The Centers for Medicare & Medicaid Services originally issued the 1972628584 to Wautoma Eye Clinic S.C. on 2007-03-20.
When was the information related to Wautoma Eye Clinic S.C. most recently updated or refreshed?
The details pertaining to the Wautoma Eye Clinic S.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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