WAUTOMA EYE CLINIC S.C.
NPI 1972628584
Optometrist in Wautoma, WI
About Wautoma Eye Clinic S.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAUTOMA EYE CLINIC S.C. (NPI 1972628584) is a healthcare organization registered as an optometrist in Wautoma, Wisconsin and active in the NPI registry since March 2007. The organization lists Brian L. Meckelberg, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wautoma Eye Clinic S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wautoma Eye Clinic S.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Wautoma Eye Clinic carries, from the Medicare DMEPOS supplier directory.
Wautoma Eye Clinic
DMEPOS supplier · Wautoma, WIOperated by Wautoma Eye Clinic S.C.Accepts Medicare assignment
Wautoma Eye Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Wautoma Eye Clinic S.C.'s NPI number?
The NPI number for Wautoma Eye Clinic S.C. is 1972628584. It was assigned to this organization in the NPPES registry on March 20, 2007.
Where is Wautoma Eye Clinic S.C. located?
Wautoma Eye Clinic S.C. is located at N2577 Plaza Rd, Wautoma, WI 54982. The listed phone number is (920) 787-3837.
What is Wautoma Eye Clinic S.C.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Wautoma Eye Clinic S.C. enrolled in Medicare?
Yes. Wautoma Eye Clinic S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wautoma Eye Clinic S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Wautoma Eye Clinic S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wautoma Eye Clinic S.C. accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Wautoma Eye Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Wautoma Eye Clinic S.C. accept?
Health plans from HealthPartners and Security Health Plan list Wautoma Eye Clinic S.C. 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 Wautoma Eye Clinic S.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Wautoma Eye Clinic S.c. · NPI 1972628584
Optometrist organization in Wautoma, Wisconsin. Organization record, active in the CMS NPPES registry since March 20, 2007.
## Identity
- **NPI:** 1972628584 (Entity type: Organization)
- **Enumerated:** March 20, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Brian Meckelberg, OWNER
## Practice location
- **Address:** N2577 PLAZA RD, Wautoma, WI 54982-7706
- **Phone:** (920) 787-3837 · **Fax:** (920) 787-1613
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1972628584) · Data from the CMS NPPES public registry.