Damon Matthew Ellis in Oakland - Optometrist

Damon Matthew Ellis - NPI 1023231917

Damon Matthew Ellis is a Optometrist in Oakland, California. Damon Matthew Ellis practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Damon Matthew Ellis is 1023231917. The last update date is 2007-07-09.

Damon Matthew Ellis's current location address is 3527 Harrison St., Oakland, California. You can contact this provider via phone number 5108471593. The mailing address for Damon Matthew Ellis is 3527 Harrison St., Oakland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Damon Matthew Ellis
Address 3527 Harrison St., Oakland, California
Phone Number 5108471593
Fax Number
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1023231917
Provider Enumeration Date 2007-04-10
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3527 Harrison St.
City Oakland
State California (CA)
Post Code 94611
Phone Number 5108471593
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 11878T
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SD0018780 CA --

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FAQs about Damon Matthew Ellis

What is the unique identification code assigned to Damon Matthew Ellis by the Centers for Medicare & Medicaid Services?

The Damon Matthew Ellis has been issued the NPI (National Provider Identifier) 1023231917. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Damon Matthew Ellis?

The Damon Matthew Ellis is physically situated at 3527 Harrison St., in the city of Oakland, state of CA, with the postal code 94611.

What is the area of specialization for Damon Matthew Ellis, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Damon Matthew Ellis is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.

When did the Damon Matthew Ellis receive its 1023231917?

The Damon Matthew Ellis was issued its 1023231917 on 2007-04-10, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Damon Matthew Ellis most recently updated or revised?

The information pertaining to Damon Matthew Ellis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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