ELLENBECKER EYE CLINIC, PLLC
NPI 1205931995
Optometrist in Coeur D Alene, ID

Active since September 14, 2006
1250 W IRONWOOD DR, SUITE 201, COEUR D ALENE, ID 83814(208) 667-2255(208) 765-5889 Get Directions Write a Review

NPPES record last updated: September 5, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1205931995
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameELLENBECKER EYE CLINIC, PLLC
Location Address1250 W IRONWOOD DR, SUITE 201Coeur D Alene, ID 83814-2681
Mailing Address1250 W Ironwood Dr, Suite 201Coeur D Alene, ID 83814-2681 · (208) 667-2255 · Fax (208) 765-5889
Fax(208) 765-5889
Organization SubpartNo
Authorized OfficialWayne D EllenbeckerOptometrist/owner · (208) 667-2255
Enumeration DateSeptember 14, 2006
Last NPPES UpdateSeptember 5, 2008
NPI 1205931995 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 ID · 800
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.

1250 W IRONWOOD DR, Coeur D Alene, ID 83814

Other Identifiers 1

Medicare NSC0224410001ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Dentist (General Practice)
1250 W IRONWOOD DR, STE 216
COEUR D ALENE, ID 83814
Chiropractor
1250 W IRONWOOD DR, SUITE 301
COEUR D ALENE, ID 83814
Social Worker
1250 W IRONWOOD DR
COEUR D ALENE, ID 83814
Optometrist
1250 W IRONWOOD DR
COEUR D ALENE, ID 83814
Optometrist
1250 W IRONWOOD DR, SUITE 201
COEUR D ALENE, ID 83814

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205931995, enumerated as an "organization" on September 14, 2006.

The provider is located at 1250 W IRONWOOD DR SUITE 201 COEUR D ALENE, ID 83814 and the phone number is (208) 667-2255.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.