ELLENBECKER EYE CLINIC, PLLC

COEUR D ALENE, ID
NPI1205931995
Entity TypeOrganization
Authorized ContactWAYNE D ELLENBECKER
Optometrist/Owner
208-667-2255
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  800)
Enumeration Date2006-09-14
Last Update Date2008-09-05
Business Address
ELLENBECKER EYE CLINIC, PLLC
1250 W IRONWOOD DR SUITE 201
COEUR D ALENE, ID 83814-2681
Phone number: 208-667-2255
Mailing Address
ELLENBECKER EYE CLINIC, PLLC
1250 W IRONWOOD DR SUITE 201
COEUR D ALENE, ID 83814-2681
Phone number: 208-667-2255