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DR. MARK ARTHUR EBBEN OD OPTOMETRIST
NPI 1255389201
Optometrist in Kaukauna, WI

Active since May 04, 2006PECOS Enrolled
1 BANK AVE, KAUKAUNA, WI 54130(920) 766-2481(920) 766-3769 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Jul 21, 2022, Jun 5, 2017 (3 updates tracked since 2017).

About Dr. Mark Arthur Ebben Od Optometrist NPPES

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

DR. MARK ARTHUR EBBEN OD OPTOMETRIST (NPI 1255389201) is an individual optometrist in Kaukauna, Wisconsin, licensed in Wisconsin (1618035) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255389201
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK ARTHUR EBBENCredential: OD OPTOMETRIST
Location Address1 BANK AVEKaukauna, WI 54130-2581
Mailing Address1 Bank AveKaukauna, WI 54130 · (920) 766-2481 · Fax (920) 766-3769
Phone(920) 766-2481
Fax(920) 766-3769
Sole ProprietorYes
Enumeration DateMay 4, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
✔ NPI 1255389201 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 · 1618035
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.
1 BANK AVE, Kaukauna, WI 54130
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Other Names 1

Other Name (5)Dr. Mark Arthur Ebben Llc Optometrist

Other Identifiers 1

Medicaid38700400WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Arthur Ebben Od Optometrist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MAGIERA EYECARE LLC
Optometrist
1 BANK AVE
KAUKAUNA, WI 54130
Outagamie County (920) 766-2481
DR. JENNA LELSEY SULLIVAN OD
Optometrist
1 BANK AVE
KAUKAUNA, WI 54130
Outagamie County (920) 766-2481
HEATHER A. REARDON LLC
Counselor
1 BANK AVE
KAUKAUNA, WI 54130
Outagamie County (920) 470-8359
ORTHOPEDIC AND SPINE THERAPY OF MENASHA SC
Physical Therapist
1 BANK AVE, SUITE C
KAUKAUNA, WI 54130
Outagamie County (920) 759-9075
MAGIERA EYECARE LLC.
Optometrist
1 BANK AVE
KAUKAUNA, WI 54130
Outagamie County (920) 766-2481

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 Mark Ebben's NPI number?

The NPI number for Mark Ebben is 1255389201. It was assigned to this individual provider in the NPPES registry on May 4, 2006. The provider is also known as Dr. Mark Arthur Ebben LLC Optometrist.

Where is Mark Ebben located?

Mark Ebben practices at 1 Bank Ave, Kaukauna, WI 54130. The listed phone number is (920) 766-2481.

What is Mark Ebben's specialty?

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

Is Mark Ebben enrolled in Medicare?

Yes. Mark Ebben is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Ebben was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.