Olivia Mae Ellis, LDO, ABOC
NPI #1164290706 in Gloucester, Virginia
Provider Information
- NPI Number
- 1164290706
- Entity Type
- Individual
- Name
- Olivia Mae Ellis, LDO, ABOC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LDO, ABOC
- Enumeration Date
- Dec 13, 2023
- Last Updated
- Dec 13, 2023
Practice Location
- Address
- 6819 WALTONS LN
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-6113
- Phone
- (804) 693-2623
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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