Gregory L Ellis is a Optometrist in Denver, Colorado. Gregory L Ellis practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Gregory L Ellis is 1629105622. The last update date is 2021-06-07.
Gregory L Ellis's current location address is 10350 E Dakota Ave, Denver, Colorado. You can contact this provider via phone number 3033384545. The mailing address for Gregory L Ellis is 10350 E Dakota Ave, Denver, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory L Ellis |
|---|---|
| Address | 10350 E Dakota Ave, Denver, Colorado |
| Phone Number | 3033384545 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1629105622 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2021-06-07 |
Provider Mailing Address Detail
| Address | 10350 E Dakota Ave |
|---|---|
| City | Denver |
| State | Colorado (CO) |
| Post Code | 802471314 |
| Phone Number | 3033384545 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2078 |
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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 |
|---|---|---|---|
| 9755012 | CO | -- | |
| 14851 | KAISER-COMMERCIAL NUMBER |
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What is the unique 10-digit identification code assigned to Gregory L Ellis by the Centers for Medicare & Medicaid Services?
The Gregory L Ellis has been issued the NPI (National Provider Identifier) 1629105622, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gregory L Ellis?
The Gregory L Ellis is situated at 10350 E Dakota Ave, in the city of Denver, state of CO, with the zip code 802471314.
What is Gregory L Ellis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory L Ellis's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629105622 to Gregory L Ellis?
The Centers for Medicare & Medicaid Services originally issued the 1629105622 to Gregory L Ellis on 2007-02-27.
When was the information related to Gregory L Ellis most recently updated or refreshed?
The details pertaining to the Gregory L Ellis, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-06-07.