Mark Arthur Ebben in Kaukauna - Optometrist
Mark Arthur Ebben - NPI 1255389201
Mark Arthur Ebben is a Optometrist in Kaukauna, Wisconsin. Mark Arthur Ebben practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mark Arthur Ebben is 1255389201. The last update date is 2023-03-07.
Mark Arthur Ebben's current location address is 1 Bank Ave, Kaukauna, Wisconsin. You can contact this provider via phone number 9207662481 and fax number 9207663769. The mailing address for Mark Arthur Ebben is 1 Bank Ave, Kaukauna, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Arthur Ebben |
|---|---|
| Address | 1 Bank Ave, Kaukauna, Wisconsin |
| Phone Number | 9207662481 |
| Fax Number | 9207663769 |
| Sole Proprietor | Y |
| Credentials | OD OPTOMET |
NPI Number Detail
| NPI Number | 1255389201 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1 Bank Ave |
|---|---|
| City | Kaukauna |
| State | Wisconsin (WI) |
| Post Code | 54130 |
| Phone Number | 9207662481 |
| Fax Number | 9207663769 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1618035 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38700400 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark Arthur Ebben by the Centers for Medicare & Medicaid Services?
The Mark Arthur Ebben has been issued the NPI (National Provider Identifier) 1255389201 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mark Arthur Ebben's facilities are geographically located?
The facilities of Mark Arthur Ebben are physically situated at the following location: 1 Bank Ave, Kaukauna, WI, 54130.
What is the Mark Arthur Ebben's specialty and taxonomy code?
The Mark Arthur Ebben's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Mark Arthur Ebben receive the assignment of its 1255389201 from the Centers for Medicare & Medicaid Services?
The Mark Arthur Ebben was issued its 1255389201 by the Centers for Medicare & Medicaid Services on 2006-05-04.
As of what date was the information regarding Mark Arthur Ebben, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Arthur Ebben, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.