Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Katelyn Marie Ebberwein, OD

Individual provider Optometrist · NPI 1063085843

Dr. Katelyn Marie Ebberwein, OD is an Optometry in Wichita, Kansas. Graduated from University of Missouri St Louis - School of Optometry in 2021, 5 years ago. Practices with Lentz Enterprises, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
5
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
KS
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1223 N Rock Rd Bldg C
Wichita, KS 67206-1277
Phone: (316) 634-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2146 (KS)

Record details

NPI number1063085843
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 20, 2021
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Lentz Enterprises, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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