Ellen L. Ellsworth, Od Inc in Mentor - Optometrist
Ellen L. Ellsworth, Od Inc - NPI 1568642890
Ellen L. Ellsworth, Od Inc is a Optometrist in Mentor, Ohio. Ellen L. Ellsworth, Od Inc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Ellen L. Ellsworth, Od Inc is 1568642890. The last update date is 2008-07-02.
Ellen L. Ellsworth, Od Inc's current location address is 9930 Johnnycake Ridge Rd, Mentor, Ohio. You can contact this provider via phone number 4403528031 and fax number 4403527671. The mailing address for Ellen L. Ellsworth, Od Inc is 9930 Johnnycake Ridge Rd, Mentor, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ellen L. Ellsworth, Od Inc |
|---|---|
| Address | 9930 Johnnycake Ridge Rd, Mentor, Ohio |
| Phone Number | 4403528031 |
| Fax Number | 4403527671 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ellsworth Lille Ellen |
| Credentials | O.D. |
| Telephone Number | 4403528031 |
NPI Number Detail
| NPI Number | 1568642890 |
|---|---|
| Provider Enumeration Date | 2007-11-03 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | 9930 Johnnycake Ridge Rd |
|---|---|
| City | Mentor |
| State | Ohio (OH) |
| Post Code | 440606752 |
| Phone Number | 4403528031 |
| Fax Number | 4403527671 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4277 T228 |
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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 |
|---|---|---|---|
| 841316 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ellen L. Ellsworth, Od Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Ellen L. Ellsworth, Od Inc has been assigned the NPI (National Provider Identifier) 1568642890. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Ellen L. Ellsworth, Od Inc?
The Ellen L. Ellsworth, Od Inc is physically situated at 9930 Johnnycake Ridge Rd, in the city of Mentor, state of OH, with the postal code 440606752.
What is Ellen L. Ellsworth, Od Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ellen L. Ellsworth, Od Inc is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
When was the Ellen L. Ellsworth, Od Inc's 1568642890 issued?
The Ellen L. Ellsworth, Od Inc's 1568642890 was issued on 2007-11-03.
As of what date were the details pertaining to Ellen L. Ellsworth, Od Inc last refreshed?
The information related to the Ellen L. Ellsworth, Od Inc, including its address, specialty, and other relevant details, was last updated on 2008-07-02.