NPI age
14 years
Enumerated 2011-07-14
● Active
Type 1 · Individual
Douglas William Ellenberger, OD
Ellenberger is 1 of 56 optometrist providers in Augusta and 1 of 2375 in Georgia.
Primary specialty
Optometrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-03-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2375 active optometrist providers in Georgia.
NPI age
14 years
↓ 2 yr below median (16 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-07Enumerated in NPPES
2011
2026
Where they practice
Practice location
1330 Interstate Pkwy
Augusta, GA 309095625
Mailing address
1330 Interstate Pkwy
Augusta, GA 309095625
Specialties
-
Optometrist PrimaryDoctors 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 013147572A |
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.