Mark A Ebben (NPI# 1255389201, PAC ID# 7113021304) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1255389201 |
| PAC ID by PECOS | 7113021304 |
| Professional Enrollment ID | I20100204000603 |
| Full Name | Mark A Ebben |
| Organization Legal Name | MAGIERA EYECARE LLC |
| Address |
1 Bank Ave Suite B Kaukauna WI 54130-2582 |
| Phone Number | 9207662481 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1978 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6406950690 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1 Bank Ave, Suite B, Kaukauna, WI 54130-2582 | 9207662481 | MAGIERA EYECARE LLC |
| Organization Legal Name | MAGIERA EYECARE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenna Lelsey Sullivan | Optometry | Magiera Eyecare LLC | 1 Bank Ave, Suite B, Kaukauna, WI 54130-2582 |
| Andrew J Magiera | Optometry | Magiera Eyecare LLC | 1 Bank Ave, Suite B, Kaukauna, WI 54130-2582 |
| Street Address |
1 BANK AVE SUITE B |
| City | KAUKAUNA |
| State | WI |
| Zip | 54130-2582 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas J Talarczyk | Physical Therapy | Orthopedic and Spine Therapy of Menasha Sc | 1 Bank Ave, Suite C, Kaukauna, WI 54130-2582 |
| Jenna Lelsey Sullivan | Optometry | Magiera Eyecare LLC | 1 Bank Ave, Suite B, Kaukauna, WI 54130-2582 |
| Alex C Minten | Physical Therapy | Orthopedic and Spine Therapy of Menasha Sc | 1 Bank Ave, Suite C, Kaukauna, WI 54130-2582 |
| Meagan O Peeters Gebler | Physical Therapy | Orthopedic and Spine Therapy of Menasha Sc | 1 Bank Ave, Suite C, Kaukauna, WI 54130-2582 |
| Andrew J Magiera | Optometry | Magiera Eyecare LLC | 1 Bank Ave, Suite B, Kaukauna, WI 54130-2582 |
| Patrick R Schuh | Physical Therapy | Orthopedic and Spine Therapy of Menasha Sc | 1 Bank Ave, Suite C, Kaukauna, WI 54130-2582 |
| Todd L Loehrke | Physical Therapy | Orthopedic and Spine Therapy of Menasha Sc | 1 Bank Ave, Suite C, Kaukauna, WI 54130-2582 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald E Gomm | Chiropractic | 111 Plank Rd, Apt 130, Kaukauna, WI 54130-1602 | |
| Marilyn R Dragosh | Chiropractic | Breitbach Dragosh Chiropractic Clinic, S.c. | 141 W Wisconsin Ave, Suite 3, Kaukauna, WI 54130-2123 |
| Anthony J Dragosh | Chiropractic | Breitbach Dragosh Chiropractic Clinic, S.c. | 141 W Wisconsin Ave, Suite 3, Kaukauna, WI 54130-2123 |
| Joseph C Graunke | Family Medicine | Kaukauna Clinic, S.c. | 305 E 12th St, Kaukauna, WI 54130-2865 |
| Bruce R Danz | Family Medicine | Kaukauna Clinic, S.c. | 305 E 12th St, Kaukauna, WI 54130-2865 |
| Jennifer L Baumgart | Nurse Practitioner | Kaukauna Clinic, S.c. | 305 E 12th St, Kaukauna, WI 54130-2865 |
| Timothy P Culligan | Family Medicine | Kaukauna Clinic, S.c. | 305 E 12th St, Kaukauna, WI 54130-2865 |
| Lori A King | Nurse Practitioner | Kaukauna Clinic, S.c. | 305 E 12th St, Kaukauna, WI 54130-2865 |
| Gregory A Johnson | Family Medicine | Kaukauna Clinic, S.c. | 305 E 12th St, Kaukauna, WI 54130-2865 |
| Jennifer L Schoening | Family Medicine | Kaukauna Clinic, S.c. | 305 E 12th St, Kaukauna, WI 54130-2865 |
| Find all physicians in zip 54130 | |||
| City | KAUKAUNA |
| Zip Code | 54130 |
| Specialty | OPTOMETRY |
| City + Specialty | KAUKAUNA + OPTOMETRY |
Please comment or provide details below to improve the information on Mark A Ebben.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.