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DR. MARY ELLEN TECLAW O.D.
NPI 1750824959
Optometrist in Brookfield, WI

Active since November 21, 2016PECOS EnrolledAccepts Medicare Assignment
17495 W CAPITOL DR, SUITE D, BROOKFIELD, WI 53045(262) 797-9638 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2018, Nov 21, 2016 (2 updates tracked since 2016).

About Dr. Mary Ellen Teclaw O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY ELLEN TECLAW O.D. (NPI 1750824959) is an individual optometrist in Brookfield, Wisconsin, licensed in Wisconsin (3440-35) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1750824959
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARY ELLEN TECLAWCredential: O.D.
Location Address17495 W CAPITOL DR, SUITE DBrookfield, WI 53045-2059
Mailing Address503 Commerce DrMadison, WI 53719-4941 · (608) 833-0062
Phone(262) 797-9638
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 21, 2016
Last NPPES UpdateAugust 6, 20182 updates tracked since enumeration
✔ NPI 1750824959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 3440-35
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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
17495 W CAPITOL DR, Brookfield, WI 53045
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary Ellen Teclaw O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315204336
PECOS Enrollment IDI20171129003320
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
82 services82 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
57 services57 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services18 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
17 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAMALDEEP S TOOR OD
Optometrist
17495 W CAPITOL DR
BROOKFIELD, WI 53045
Waukesha County (262) 797-9638
ANGELA ANTHONY HIS
Hearing Instrument Specialist
17495 W CAPITOL DR
BROOKFIELD, WI 53045
Waukesha County (262) 781-0226
MEGAN MARIE KELNHOFER
Optometrist
17495 W CAPITOL DR
BROOKFIELD, WI 53045
Waukesha County (262) 797-9638
ACCUQUEST HEARING CENTER, LLC
Clinic/Center (Hearing and Speech)
17495 W CAPITOL DR
BROOKFIELD, WI 53045
Waukesha County (262) 781-0226
METRO MILWAUKEE ANESTHESIA ASSOCIATES SC
Nurse Anesthetist, Certified Registered
17495 W CAPITOL DR
BROOKFIELD, WI 53045
Waukesha County (847) 691-9080
GREAT MIDWEST MEDICAL, INC.
Clinic/Center (Ambulatory Surgical)
17495 W CAPITOL DR, UNIT K
BROOKFIELD, WI 53045
Waukesha County (262) 945-1094
KASSANDRA DAVIS HIS
Hearing Instrument Specialist
17495 W CAPITOL DR
BROOKFIELD, WI 53045
Waukesha County (262) 781-0226
ROBERT WILLIAM MICLOT JR. DC
Chiropractor
17495 W CAPITOL DR
BROOKFIELD, WI 53045
Waukesha County (262) 790-4900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Teclaw's NPI number?

The NPI number for Mary Teclaw is 1750824959. It was assigned to this individual provider in the NPPES registry on November 21, 2016.

Where is Mary Teclaw located?

Mary Teclaw practices at 17495 W Capitol Dr Suite D, Brookfield, WI 53045. The listed phone number is (262) 797-9638.

What is Mary Teclaw's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mary Teclaw enrolled in Medicare?

Yes. Mary Teclaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Teclaw accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Network Health and 4 other insurers list Mary Teclaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Teclaw was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.