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ELLEN L. ELLSWORTH OD INC NPI 1568642890


NPI Information

NPI: 1568642890
Provider Name: ELLEN L. ELLSWORTH, OD INC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
9930 JOHNNYCAKE RIDGE RD
SUITE 4B
MENTOR, OH
ZIP 44060
Phone: (440) 352-8031
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ELLEN L. ELLSWORTH, OD INC is an optometrist in Mentor, OH. 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. ELLEN L. ELLSWORTH, OD INC NPI is 1568642890. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9930 JOHNNYCAKE RIDGE RD
SUITE 4B
MENTOR, OH
ZIP 44060-752
Phone: (440) 352-8031
Fax: (440) 352-7671

The provider's authorized official is Ellen Lille Ellsworth .
The authorized official title is President and has the following contact phone number (440) 352-8031.

The enumeration date for this NPI number is 11/3/2007 and was last updated on 7/2/2008.


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
1152W00000XOptometrist4277 T228OHIOYes

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
10841316MEDICAIDOHIO
2EL9324941MEDICARE PIN
30971390001MEDICARE NSC

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

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