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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Brian L Meckelberg, OD

Optometrist in Wautoma, WI · enumerated 2005 · practices at Wautoma Eye Clinic S.C..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013993393

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Registry record

Entity type Individual (Type 1)
Name Dr. Brian L Meckelberg
Credential OD
Sex Male
Practice address Wautoma, WI, 54982
Fax (920) 787-1613
Enumeration date Dec 19, 2005
Last updated in NPPES Jul 13, 2010

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 2056 (WI) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier Type State Issuer
38525000 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Brian Meckelberg practice?
The practice location on file with NPPES is in Wautoma, WI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Brian Meckelberg?
The National Provider Identifier (NPI) for Brian Meckelberg is 1013993393, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-07-13.