DR. Joe E Ellis, O.D.

NPI #1174597934 in Benton, Kentucky

Provider Information

NPI Number: 1174597934
Entity Type: Individual
Name: DR. Joe E Ellis, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 16, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 109 W 5TH ST
City: Benton
State: Kentucky
ZIP Code: 42025-1123
Phone: (270) 527-7421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Specialist	174400000X

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