L. Edward Elliott O.D.

NPI 1023000502 - Optometrist - 152WC0802X

NPI Details
NPI 1023000502
Gender Male
Enumeration Date 08/19/2005
Last Updated 06/21/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
1555 VIKING ST
ESCALON CA, 95320-1742, US
Phone (209) 838-7263
Fax (209) 838-8093
Business Location
1555 VIKING ST
ESCALON CA, 95320-1742, US
Phone (209) 838-7263
Fax (209) 838-8093
Toxanomy
Taxonomy Code 152WC0802X
License State California
License Number 4716T
Remove 1023000502 NPI Number
 

According to our database, Dr. L. Edward Elliott O.D. NPI is 1023000502, taxonomy code is 152WC0802X and license number is 4716T, license state is located at California. L. Edward Elliott O.D. physically located at 1555 Viking St, Escalon CA, 95320-1742. NPI Number L. Edward Elliott O.D. has the Individual type.

Sponsored links

1023000502 NPI number is provided on an as is basis without warranty of any kind. 1023000502 is maintained by the National Plan & Provider Enumeration System. The contents of L. Edward Elliott O.D. are for informational purposes only.