Douglas William Ellenberger is a Augusta, Georgia based male Optometrist with 14 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 2011. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Douglas William Ellenberger is OPT002659 for Optometry in Georgia.
Douglas William Ellenberger examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Douglas William Ellenberger speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Optometry |
| Credentials: | OD |
| Experience: | 14+ years |
| Medical School Attended: | Southern College Of Optometry |
| Graduation Year: | 2011 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1330 Interstate Pkwy, Augusta,
Georgia, 30909-5625 |
| Phone: | 706-651-2020 |
| Fax: | 706-651-2032 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3072784131 |
| Enrollment ID: | I20110921000218 |
| NPI Number: | 1841588555 |
| NPI Enumeration Date: | 14 Jul, 2011 |
| NPI Last Update On: | 14 Mar, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Douglas William Ellenberger are as mentioned below.
| License Number | Specialization | State | Status | |
| OPT002659 | Optometry | Georgia | Primary | |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Douglas William Ellenberger has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Eyeguys Ods Llc (0244532513) | 4 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Douglas William Ellenberger such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 013147572A | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1330 Interstate Pkwy,
Augusta, Georgia |
| Zip: | 30909-5625 |
| Phone Number: | 706-651-2020 |
| Fax Number: | 706-651-2032 |
Patients can reach Douglas William Ellenberger at
1330 Interstate Pkwy, Augusta, Georgia or can
call to book an appointment on 706-651-2020.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.