Dr. Staci Dawn Ecenbarger is a Wyoming, Michigan based female Optometrist with 25 years of experience in Optometry. She completed her graduation from Ferris State College - College Of Optometry in 1999. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Staci Dawn Ecenbarger is 4901004004 for Optometry in Michigan. Dr. Staci Dawn Ecenbarger 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. She 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. She 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:
Dr. Staci Dawn Ecenbarger 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:
O.D.
Experience:
25+ years
Medical School Attended:
Ferris State College - College Of Optometry
Graduation Year:
1999
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
5751 Byron Center Ave Sw, Suite V, Wyoming, Michigan, 49519-9621
Phone:
616-532-2020
Fax:
616-532-2022
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:
1759391626
Enrollment ID:
I20060424000172
NPI Number:
1861449225
NPI Enumeration Date:
30 May, 2006
NPI Last Update On:
30 Oct, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Staci Dawn Ecenbarger are as mentioned below.
License Number
Specialization
State
Status
4901004004
Optometry
Michigan
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 Dr. Staci Dawn Ecenbarger has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ecenbarger Eye Care, Llc (4284634122)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Staci Dawn Ecenbarger such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5189909
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5751 Byron Center Ave Sw, Suite V Wyoming, Michigan
Zip:
49519-9621
Phone Number:
616-532-2020
Fax Number:
616-532-2022
Patients can reach Dr. Staci Dawn Ecenbarger at 5751 Byron Center Ave Sw, Suite V, Wyoming, Michigan or can call to book an appointment on 616-532-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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