P Praxis·MD
● Active Type 2 · Organization

Ellenbecker Eye Clinic, Pllc

Optometrist·Coeur D Alene, ID· NPI 1205931995 · Enumerated 2006 · 19 years on NPI
Ellenbecker Eye Clinic, Pllc is 1 of 598 optometrist organizations in Idaho.
NPI age
19 years
Enumerated 2006-09-14
Primary specialty
Optometrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ellenbecker
Optometrist/owner
Last NPPES update
2008-09-05
Source: monthly bulk 2026-05

How this organization compares

Across 598 active optometrist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1250 W Ironwood Dr, Suite 201
Coeur D Alene, ID 838142681
📞 2086672255fax 2087655889
Mailing address
1250 W Ironwood Dr, Suite 201
Coeur D Alene, ID 838142681
📞 2086672255fax 2087655889

Authorized official

Wayne D Ellenbecker, OD
Optometrist/owner
📞 2086672255

Individual providers at this organization

4 individual providers on file at this primary practice address.

Specialties

  • Optometrist Primary
    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...
    ID license #800 taxonomy 152W00000X

Practice context

Multi-provider organization. 4 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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