Mary Ellen Teclaw (NPI# 1750824959, PAC ID# 7315204336) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1750824959 |
| PAC ID by PECOS | 7315204336 |
| Professional Enrollment ID | I20171129003320 |
| Full Name | Mary Ellen Teclaw |
| Organization Legal Name | OLSON EYE CARE LLC |
| Address |
117 W Lake St Lake Mills WI 53551-1514 |
| Phone Number | 9206482011 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5294818589 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 117 W Lake St, Lake Mills, WI 53551-1514 | 9206482011 | OLSON EYE CARE LLC |
| 503 Commerce Dr, Madison, WI 53719-4941 | 6088330062 | OLSON EYE CARE LLC |
| 102 Shaler Dr, Waupun, WI 53963-1791 | 9203243501 | OLSON EYE CARE LLC |
| Organization Legal Name | OLSON EYE CARE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard D Olson | Optometry | Olson Eye Care LLC | 503 Commerce Dr, Madison, WI 53719-4941 |
| Angela E Olson | Optometry | Olson Eye Care LLC | 117 W Lake St, Lake Mills, WI 53551-1514 |
| Street Address |
117 W LAKE ST |
| City | LAKE MILLS |
| State | WI |
| Zip | 53551-1514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Joseph Carioscia | Podiatry | Foot and Ankle Center | 117 W Lake St, Bloomingdale, IL 60108-1006 |
| Angela E Olson | Optometry | Olson Eye Care LLC | 117 W Lake St, Lake Mills, WI 53551-1514 |
| Jessica A Sullivan | Podiatry | Foot and Ankle Center | 117 W Lake St, Bloomingdale, IL 60108-1006 |
| Ralph G Esposito | Podiatry | Foot and Ankle Center | 117 W Lake St, Bloomingdale, IL 60108-1006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher James Kroll | Chiropractic | 125 Ae Pine St, Lake Mills, WI 53551-1103 | |
| Scott A Tellefson | Chiropractic | 125 Ae Pine St, Lake Mills, WI 53551-1103 | |
| Jared Hutterer | Physical Therapy | Optimal Physical Therapy, LLC | 809 N Main St, Suite B, Lake Mills, WI 53551-1118 |
| Jennifer A Jeschke | Physical Therapy | Optimal Physical Therapy, LLC | 809 N Main St, Suite B, Lake Mills, WI 53551-1118 |
| Nathaniel D Hoover | Physical Therapy | Optimal Physical Therapy, LLC | 809 N Main St, Suite B, Lake Mills, WI 53551-1118 |
| Gregory D Anderson | Chiropractic | 120 E Oak St, Lake Mills, WI 53551-1243 | |
| Kristin M Schultz | Nurse Practitioner | Fort Healthcare Inc | 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 |
| Stuart L Isaacson | Family Practice | Fort Healthcare, Inc | 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 |
| City | LAKE MILLS |
| Zip Code | 53551 |
| Specialty | OPTOMETRY |
| City + Specialty | LAKE MILLS + OPTOMETRY |
Please comment or provide details below to improve the information on Mary Ellen Teclaw.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.