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

Dr. Mark Arthur Ebben, ODOPTOMETRIST

Individual provider Optometrist · NPI 1255389201

Dr. Mark Arthur Ebben, ODOPTOMETRIST is an Optometrist in Kaukauna, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

1 Bank Ave
Kaukauna, WI 54130-2581
Phone: (920) 766-2481
Fax: (920) 766-3769
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1618035 (WI)

Record details

NPI number1255389201
Entity typeIndividual (Type 1)
GenderMale
Credentials ODOPTOMETRIST
Sole proprietorYes
NPI enumeratedMay 4, 2006
Last updated in NPPESMarch 7, 2023

Other providers in Kaukauna