ELLENBECKER EYE CLINIC, PLLC
NPI 1205931995
Optometrist in Coeur D Alene, ID
About Ellenbecker Eye Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLENBECKER EYE CLINIC, PLLC (NPI 1205931995) is a healthcare organization registered as an optometrist in Coeur D Alene, Idaho and active in the NPI registry since September 2006. The organization lists Wayne D Ellenbecker, Optometrist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellenbecker Eye Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Ellenbecker Eye Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ellenbecker Eye Clinic, PLLC's NPI number?
The NPI number for Ellenbecker Eye Clinic, PLLC is 1205931995. It was assigned to this organization in the NPPES registry on September 14, 2006.
Where is Ellenbecker Eye Clinic, PLLC located?
Ellenbecker Eye Clinic, PLLC is located at 1250 W Ironwood Dr Suite 201, Coeur D Alene, ID 83814. The listed phone number is (208) 667-2255.
What is Ellenbecker Eye Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Ellenbecker Eye Clinic, PLLC enrolled in Medicare?
Yes. Ellenbecker Eye Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ellenbecker Eye Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Ellenbecker Eye Clinic, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ellenbecker Eye Clinic, PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Ellenbecker Eye Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ellenbecker Eye Clinic, PLLC was last updated on September 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Ellenbecker Eye Clinic, Pllc · NPI 1205931995
Optometrist organization in Coeur D Alene, Idaho. Organization record, active in the CMS NPPES registry since September 14, 2006.
## Identity
- **NPI:** 1205931995 (Entity type: Organization)
- **Enumerated:** September 14, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Wayne Ellenbecker, OPTOMETRIST/OWNER
## Practice location
- **Address:** 1250 W IRONWOOD DR, SUITE 201, Coeur D Alene, ID 83814-2681
- **Phone:** (208) 667-2255 · **Fax:** (208) 765-5889
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 5, 2008
- **Other identifiers:** Medicare NSC 0224410001 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1205931995) · Data from the CMS NPPES public registry.