DR. Robert Ellis JR., O.D.

NPI #1154415370 in Anniston, Alabama

Provider Information

NPI Number: 1154415370
Entity Type: Individual
Name: DR. Robert Ellis JR., O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 3, 2006
Last Updated: Sep 30, 2010

Practice Location

Address: 425 E 10TH ST
Address 2: SUITE C
City: Anniston
State: Alabama
ZIP Code: 36207-4787
Phone: (256) 236-7516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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