Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK ARTHUR EBBEN, OD OPTOMETRIST
Active Sole ProprietorDR. MARK ARTHUR EBBEN, OD OPTOMETRIST is a Optometrist healthcare provider located in KAUKAUNA, Wisconsin. NPI 1255389201 is currently active in the NPPES registry. Verify at CMS.
Optometrist · KAUKAUNA, WI
Registration Details
- NPI Number
- 1255389201
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (20.2720177567 yrs)
- Last Updated
- Mar 7, 2023
- License
-
1618035 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 BANK AVEKAUKAUNA, WI, 541302581Browse WI providers · Browse ZIP 54130
- Phone
- 9207662481
- Fax
- 9207663769
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in KAUKAUNA, WI
| Name | Credential | NPI |
|---|---|---|
| DAVID G VANDERLOOP II | O.D. | 1851344642 |
| DR. MARY KATHRYN SCHROEDER | OD | 1730602467 |
| DR. JENNA LELSEY SULLIVAN | OD | 1366936932 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.