Provider Type Icon

L.EDWARD ELLIOTT O.D. NPI 1740456714


NPI Information

NPI: 1740456714
Provider Name: L.EDWARD ELLIOTT, O.D.

Doing Business As: ESCALON OPTOMETRY

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1555 VIKING ST
ESCALON, CA
ZIP 95320
Phone: (209) 838-7263
Get Directions

L.EDWARD ELLIOTT, O.D. is an optometrist in Escalon, CA. The provider is 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. L.EDWARD ELLIOTT, O.D. NPI is 1740456714. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Escalon Optometry.

The provider's business location address is:

1555 VIKING ST
ESCALON, CA
ZIP 95320-742
Phone: (209) 838-7263

The provider's authorized official is L Edward Elliott .
The authorized official title is Doctor Of Optometry and has the following contact phone number (209) 838-7263.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 7/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SD0047161MEDICAIDCALIFORNIA
2SD0047160MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.