Edward Eugene Ellis O.D.

NPI 1033290069 - Optometrist - 152W00000X

NPI Details
NPI 1033290069
Gender Male
Enumeration Date 10/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9032 W KEN CARYL AVE
A-5
LITTLETON CO, 80128-9330, US
Phone (303) 973-4760
Fax
Business Location
9525 W COAL MINE AVE APT H
LITTLETON CO, 80123-8026, US
Phone (303) 979-2873
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Colorado
License Number 1087
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According to our database, Dr. Edward Eugene Ellis O.D. NPI is 1033290069, taxonomy code is 152W00000X and license number is 1087, license state is located at Colorado. Edward Eugene Ellis O.D. physically located at 9032 W Ken Caryl Ave, Littleton CO, 80128-9330. NPI Number Edward Eugene Ellis O.D. has the Individual type.

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1033290069 NPI number is provided on an as is basis without warranty of any kind. 1033290069 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Eugene Ellis O.D. are for informational purposes only.