Mark Ebben, OD OPTOMETRIST
NPI 1255389201 · Optometrist · Kaukauna, WI
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Ebben, OD OPTOMETRIST is a Optometrist provider in Kaukauna, WI (NPI 1255389201).
Provider details
- NPI number
- 1255389201
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD OPTOMETRIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1618035 (WI)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2023-03-07
Frequently asked questions
- What is Mark Ebben's NPI number?
- Mark Ebben's National Provider Identifier (NPI) is 1255389201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Ebben's specialty?
- Mark Ebben is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Mark Ebben located?
- Mark Ebben's practice location on file with NPPES is 1 Bank Ave, Kaukauna, WI 54130-2581.
- What is Mark Ebben's phone number?
- The practice phone number listed in the NPPES registry for Mark Ebben is (920) 766-2481.
- Does Mark Ebben accept Medicare?
- Mark Ebben is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Ebben's NPI active?
- Yes — Mark Ebben's NPI (1255389201) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.