Individual provider · Type 1 NPI

Wayne D. Ellenbecker, OD

Optometrist · Coeur D Alene, ID

NPI number 1710972450 Active

Practice location

1250 W Ironwood Dr, Suite 201
Coeur D Alene, ID 83814-2679

Call (208) 667-2255 Map

Fax (208) 765-5889

Mailing address

2140 W Riverstone Dr, Ste 101
Coeur D Alene, ID 83814-4968

Specialties and licenses

Taxonomy	Code	License
Optometrist Primary	152W00000X	800 (ID)

Optometrist: 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 identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1710972450

Wayne D. Ellenbecker, OD's National Provider Identifier is 1710972450, issued on Sep 19, 2005. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 13, 2026.