Ecenbarger Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

CURRENTLY APPLYING Issued in MI

Legal business name

ECENBARGER EYE CARE, LLC

Practice address

5751 Byron Center Ave SW
Suite V
Wyoming, MI 49519-9621

Phone

(616) 532-2020

Fax

(616) 532-2022

NPI assigned

Oct 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Scott Richard Ecenbarger, O.D.NPI 1629019914

Title

Optometrist

Phone

(616) 532-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Richard Ecenbarger, O.D.

  • Optometrist
  • Wyoming, MI
  • NPI 1629019914
  Medicare reassignment Care Compare group Authorized official
• Staci Dawn Ecenbarger, O.D.

  • Optometrist
  • Wyoming, MI
  • NPI 1861449225
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609959089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 BYRON CENTER AVE SW",
            "address_2": "SUITE V",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199621",
            "telephone_number": "616-532-2020",
            "fax_number": "616-532-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 BYRON CENTER AVE SW",
            "address_2": "SUITE V",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199621",
            "telephone_number": "616-532-2020",
            "fax_number": "616-532-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECENBARGER EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ECENBARGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "616-532-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "CURRENTLY APPLYING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Irene Dykstra, NP
• Kathleen Dykwell, RN
• Brooke A Dylenski, NP
• Silvia Cristina Dyson, LMSW, LCSW
• Ross Allen Eardley, PHARMD, BCPS
• Scott Richard Ecenbarger, O.D.
• Staci Dawn Ecenbarger, O.D.
• Eda Leach
• Allison Leigh Edberg, D.O.
• Eden Homecare LLC

• Optometrist in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.