Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WAYNE D ELLENBECKER, O.D.
ActiveDR. WAYNE D ELLENBECKER, O.D. is a Optometrist healthcare provider located in COEUR D ALENE, Idaho. NPI 1710972450 is currently active in the NPPES registry. Verify at CMS.
Optometrist · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1710972450
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2005 (20.865811460541 yrs)
- Last Updated
- Sep 25, 2017
- License
-
800 (ID)
Practice Information
- Address
-
1250 W IRONWOOD DRSUITE 201COEUR D ALENE, ID, 838142679Browse ID providers · Browse ZIP 83814
- Phone
- 2086672255
- Fax
- 2087655889
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. RAYMOND KARL GREENE | OD | 1689669798 |
| DR. JOHN L CALDERWOOD | OD | 1285624601 |
| DR. LANCE WILLIAM FAGAN | O.D. | 1891775151 |
| DR. ROBERT JOHN JOHNSON | O.D. | 1265484604 |
| DR. CINDY L ELLENBECKER | OD | 1134167703 |
| ROY LAVERN CLAPPER | OD | 1104934686 |
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.