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

Individual provider Optometrist · NPI 1710972450

Dr. Wayne D Ellenbecker, OD is an Optometry in Coeur D Alene, Idaho. Graduated from Pacific University - College of Optometry in 1987, 39 years ago. Practices with Ellenbecker Eye Clinic, PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
39
Trained at
Pacific University - College of Optometry
Licensed in
ID
In the registry since
2005
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

1250 W Ironwood Dr Ste 201
Coeur D Alene, ID 83814-2679
Phone: (208) 667-2255
Fax: (208) 765-5889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 800 (ID)

Record details

NPI number1710972450
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 19, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1987 (39 years in practice)
Group practice Ellenbecker Eye Clinic, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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