DR. Jerry L Elliott, O.D.

NPI #1417020884 in Garland, Texas

Provider Information

NPI Number: 1417020884
Entity Type: Individual
Name: DR. Jerry L Elliott, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 15, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 3159 S GARLAND AVE
Address 2: 511B
City: Garland
State: Texas
ZIP Code: 75041-4000
Phone: (972) 840-1776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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