DR. Ellen Lille Ellsworth, O.D.

NPI #1437297264 in Mentor, Ohio

Provider Information

NPI Number: 1437297264
Entity Type: Individual
Name: DR. Ellen Lille Ellsworth, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 2, 2007
Last Updated: Jul 2, 2008

Practice Location

Address: 9930 JOHNNYCAKE RIDGE RD
Address 2: SUITE 4B
City: Mentor
State: Ohio
ZIP Code: 44060-6752
Phone: (440) 352-8031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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