MARK A EBBEN

MAGIERA EYECARE LLC

Dr MARK A EBBEN is a male medical professional, specializing in Optometry. He graduated in 1978 from Illinois College Of Optometry At Chicago.

Contact

MAGIERA EYECARE LLC

1 BANK AVE
SUITE B
KAUKAUNA
WI
541302582

Tel: 9207662481

MARK A EBBEN Information

Npi 1255389201
Pac Id 7113021304
Professional Enrollment Id I20100204000603
Last Name EBBEN
First Name MARK
Middle Name A
Suffix
Gender M
Credential
Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year 1978
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MAGIERA EYECARE LLC
Group Practice Pac Id 6406950690
Number Of Group Practice Members 4
Line 1 Street Address 1 BANK AVE
Line 2 Street Address SUITE B
Marker Of Address Line 2 Suppression
City KAUKAUNA
State WI
Zip Code 541302582
Phone Number 9207662481
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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