Adrian Peter Ebben in Kimberly - Optometrist
Adrian Peter Ebben - NPI 1053397042
Adrian Peter Ebben is a Optometrist in Kimberly, Wisconsin. Adrian Peter Ebben practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Adrian Peter Ebben is 1053397042. The last update date is 2007-07-08.
Adrian Peter Ebben's current location address is 222 N Main St, Kimberly, Wisconsin. You can contact this provider via phone number 9207885612 and fax number 9207880857. The mailing address for Adrian Peter Ebben is 222 N Main St, Kimberly, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adrian Peter Ebben |
|---|---|
| Address | 222 N Main St, Kimberly, Wisconsin |
| Phone Number | 9207885612 |
| Fax Number | 9207880857 |
| Sole Proprietor | X |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1053397042 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 222 N Main St |
|---|---|
| City | Kimberly |
| State | Wisconsin (WI) |
| Post Code | 541361415 |
| Phone Number | 9207885612 |
| Fax Number | 9207880857 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1330035 |
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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 |
|---|---|---|---|
| 38568400 | WI | -- |
Post Comment/ Review Below
What is the Adrian Peter Ebben's 1053397042?
The Adrian Peter Ebben's NPI (National Provider Identifier) Number is 1053397042. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Adrian Peter Ebben's physical address?
The Adrian Peter Ebben is physically located at 222 N Main St, in the city of Kimberly, WI, with the postal code 541361415.
What is the area of specialization for Adrian Peter Ebben, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Adrian Peter Ebben is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053397042 to Adrian Peter Ebben?
The Centers for Medicare & Medicaid Services originally issued the 1053397042 to Adrian Peter Ebben on 2005-12-21.
When was the information regarding Adrian Peter Ebben most recently updated?
The details pertaining to the Adrian Peter Ebben, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.