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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ADRIAN PETER EBBEN OD
NPI 1053397042
Optometrist in Kimberly, WI

Active since December 21, 2005
222 N MAIN ST, KIMBERLY, WI 54136(920) 788-5612(920) 788-0857 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Adrian Peter Ebben Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADRIAN PETER EBBEN OD (NPI 1053397042) is an individual optometrist in Kimberly, Wisconsin, licensed in Wisconsin (1330035) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1053397042
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ADRIAN PETER EBBENCredential: OD
Location Address222 N MAIN STKimberly, WI 54136-1415
Mailing Address222 N Main StKimberly, WI 54136-1415 · (920) 788-5612 · Fax (920) 788-0857
Phone(920) 788-5612
Fax(920) 788-0857
Sole ProprietorNo
Enumeration DateDecember 21, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1053397042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 1330035
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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
222 N MAIN ST, Kimberly, WI 54136
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Other Identifiers 1

Medicaid38568400WI

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW JOHN MAGIERA OD
Optometrist
222 N MAIN ST
KIMBERLY, WI 54136
Outagamie County (920) 788-5612
KIMBERLY EYE CLINIC INC
Optometrist
222 N MAIN ST
KIMBERLY, WI 54136
Outagamie County (920) 788-5612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adrian Ebben's NPI number?

The NPI number for Adrian Ebben is 1053397042. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Adrian Ebben located?

Adrian Ebben practices at 222 N Main St, Kimberly, WI 54136. The listed phone number is (920) 788-5612.

What is Adrian Ebben's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Adrian Ebben was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.