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

Individual provider Optometrist · NPI 1750824959

Dr. Mary Ellen Teclaw, OD is an Optometry in Brookfield, Wisconsin. Qualified in 2016, 10 years ago. Practices with Olson Eye Care LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2016
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

17495 W Capitol Dr Ste D
Brookfield, WI 53045-2059
Phone: (262) 797-9638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3440-35 (WI)

Record details

NPI number1750824959
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedNovember 21, 2016
Last updated in NPPESAugust 6, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Olson Eye Care Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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