Patrice C Ellingson in Fort Wayne - Optometrist
Patrice C Ellingson - NPI 1639163884
Patrice C Ellingson is a Optometrist in Fort Wayne, Indiana. Patrice C Ellingson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Patrice C Ellingson is 1639163884. The last update date is 2018-08-15.
Patrice C Ellingson's current location address is 1515 E Paulding Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2607442273 and fax number 2607444555. The mailing address for Patrice C Ellingson is 1515 E Paulding Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrice C Ellingson |
|---|---|
| Address | 1515 E Paulding Rd, Fort Wayne, Indiana |
| Phone Number | 2607442273 |
| Fax Number | 2607444555 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1639163884 |
|---|---|
| Provider Enumeration Date | 2005-09-02 |
| Last Updated Date | 2018-08-15 |
Provider Mailing Address Detail
| Address | 1515 E Paulding Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468161252 |
| Phone Number | 2607442273 |
| Fax Number | 2607444555 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18002448 |
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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 |
|---|---|---|---|
| 243494 | IN | ANTHEM NONPAR | |
| 100411890 | IN | -- | |
| 100411890A | IN | -- | |
| 410017027 | IN | MEDICARE RR | |
| 410040819 | IN | MEDICARE RR |
Post Comment/ Review Below
What is the Patrice C Ellingson's unique identification number?
The Patrice C Ellingson has been assigned the NPI (National Provider Identifier) Number 1639163884 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Patrice C Ellingson is physically located?
The Patrice C Ellingson is situated at the following address: 1515 E Paulding Rd, Fort Wayne, IN 468161252.
What is Patrice C Ellingson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Patrice C Ellingson is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did Patrice C Ellingson receive its 1639163884 assignment from the Centers for Medicare & Medicaid Services?
The Patrice C Ellingson was assigned its 1639163884 on 2005-09-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Patrice C Ellingson most recently updated or revised?
The information pertaining to Patrice C Ellingson, including its address, specialty, and other relevant details, was last updated or revised on 2018-08-15.