Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wautoma Eye Clinic SC

Organization Optometrist · NPI 1972628584

Wautoma Eye Clinic SC is an Optometrist in Wautoma, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

N2577 Plaza Rd
Wautoma, WI 54982-7706
Phone: (920) 787-3837
Fax: (920) 787-1613
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2056 (WI)

Record details

NPI number1972628584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Meckelberg — Owner · (920) 787-3837
NPI enumeratedMarch 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 366, N2577 Plaza Road, Wautoma, WI 54982-0366

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