Nicholas Ellyn is a Ophthalmology in Alexandria, Virginia. Nicholas Ellyn practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Nicholas Ellyn is 1174626311. The last update date is 2010-05-11.
Nicholas Ellyn's current location address is 1707 Osage St, Alexandria, Virginia. You can contact this provider via phone number 7035780100 and fax number 7038248357. The mailing address for Nicholas Ellyn is 1707 Osage St, Alexandria, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas Ellyn |
|---|---|
| Address | 1707 Osage St, Alexandria, Virginia |
| Phone Number | 7035780100 |
| Fax Number | 7038248357 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174626311 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2010-05-11 |
Provider Mailing Address Detail
| Address | 1707 Osage St |
|---|---|
| City | Alexandria |
| State | Virginia (VA) |
| Post Code | 223022611 |
| Phone Number | 7035780100 |
| Fax Number | 7038248357 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 101027634 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6380883 | VA | -- | |
| 1174626311 | VA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Nicholas Ellyn?
The Nicholas Ellyn has been issued the NPI (National Provider Identifier) 1174626311 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Nicholas Ellyn?
The Nicholas Ellyn is situated at 1707 Osage St, in the city of Alexandria, state of VA, with the zip code 223022611.
Could you please share the complete physical address where Nicholas Ellyn is geographically located?
The Nicholas Ellyn is physically situated at the following location: 1707 Osage St, Alexandria, VA, 223022611.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174626311 to Nicholas Ellyn?
The Centers for Medicare & Medicaid Services originally issued the 1174626311 to Nicholas Ellyn on 2006-09-06.
When was the information regarding Nicholas Ellyn, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Nicholas Ellyn, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-05-11.