Brian Edward Elliott in Riverbank - Optometrist
Brian Edward Elliott - NPI 1760566434
Brian Edward Elliott is a Optometrist in Riverbank, California. Brian Edward Elliott practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Brian Edward Elliott is 1760566434. The last update date is 2022-09-01.
Brian Edward Elliott's current location address is 6331 Jackson Ave, Riverbank, California. You can contact this provider via phone number 2098693300 and fax number 2098698809. The mailing address for Brian Edward Elliott is 6331 Jackson Ave, Riverbank, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Edward Elliott |
|---|---|
| Address | 6331 Jackson Ave, Riverbank, California |
| Phone Number | 2098693300 |
| Fax Number | 2098698809 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1760566434 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2022-09-01 |
Provider Mailing Address Detail
| Address | 6331 Jackson Ave |
|---|---|
| City | Riverbank |
| State | California (CA) |
| Post Code | 953672733 |
| Phone Number | 2098693300 |
| Fax Number | 2098698809 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 9440T |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SD0094401 | CA | -- | |
| 723780001 | CA | MEDICARE DME PIN |
Post Comment/ Review Below
What is the unique identifier code issued to Brian Edward Elliott by the Centers for Medicare & Medicaid Services?
The Brian Edward Elliott has been assigned the NPI (National Provider Identifier) 1760566434. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Brian Edward Elliott is located?
The Brian Edward Elliott is situated at the following address: 6331 Jackson Ave, Riverbank, CA, 953672733.
What is Brian Edward Elliott's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian Edward Elliott's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Brian Edward Elliott receive the assignment of its 1760566434 from the Centers for Medicare & Medicaid Services?
The Brian Edward Elliott was issued its 1760566434 by the Centers for Medicare & Medicaid Services on 2006-10-25.
When was the information pertaining to Brian Edward Elliott most recently updated or revised?
The details related to Brian Edward Elliott, including its address, specialty, and other relevant information, were last updated or revised on 2022-09-01.
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