John L Ellis in El Paso - Optometrist

John L Ellis - NPI 1417947417

John L Ellis is a Optometrist in El Paso, Texas. John L Ellis practices all healthcare services and medical treatments related to Optometrist. The NPI Number for John L Ellis is 1417947417. The last update date is 2016-10-20.

John L Ellis's current location address is 3800 N Mesa St, El Paso, Texas. You can contact this provider via phone number 9155331811 and fax number 9155333641. The mailing address for John L Ellis is 3800 N Mesa St, El Paso, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name John L Ellis
Address 3800 N Mesa St, El Paso, Texas
Phone Number 9155331811
Fax Number 9155333641
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1417947417
Provider Enumeration Date 2005-10-21
Last Updated Date 2016-10-20

Provider Mailing Address Detail

Address 3800 N Mesa St
City El Paso
State Texas (TX)
Post Code 799021535
Phone Number 9155331811
Fax Number 9155333641

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 5395T6
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
6654720 NM MEDICAID
143852 COLE VISION
4722920001 MEDICARE PALMETTO
160390401 TX --
5395 TX EYEMED VISION
807829 TX BLUE CROSS BLUE SHIELD
914210 BLOCK VISION
P00113768 MEDICARE RAILROAD

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FAQs about John L Ellis

What is the unique 10-digit identifier code issued to John L Ellis by the Centers for Medicare & Medicaid Services?

The John L Ellis has been assigned the NPI (National Provider Identifier) 1417947417 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where John L Ellis is physically located?

The John L Ellis is situated at the following address: 3800 N Mesa St, El Paso, TX 799021535.

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

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

When did the John L Ellis receive its 1417947417?

The John L Ellis was issued its 1417947417 on 2005-10-21, which is the date when the organization was assigned this unique identifier.

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

The information pertaining to John L Ellis, including its address, specialty, and other relevant details, was last updated or revised on 2016-10-20.

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