| Ecenbarger Eye Care, Llc | |
|
5751 Byron Center Ave Sw, Suite V, Wyoming, MI 49519-9621 | |
| (616) 532-2020 | |
| (616) 532-2022 |
| Full Name | Ecenbarger Eye Care, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5751 Byron Center Ave Sw, Wyoming, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609959089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | CURRENTLY APPLYING (Michigan) | Primary |
| Provider Name | Scott R Ecenbarger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629019914 PECOS PAC ID: 7416926928 Enrollment ID: I20040930001141 |
| Provider Name | Staci Dawn Ecenbarger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861449225 PECOS PAC ID: 1759391626 Enrollment ID: I20060424000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Ecenbarger Eye Care, Llc 5751 Byron Center Ave Sw, Suite V, Wyoming, MI 49519-9621 Ph: (616) 532-2020 | Ecenbarger Eye Care, Llc 5751 Byron Center Ave Sw, Suite V, Wyoming, MI 49519-9621 Ph: (616) 532-2020 |
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