John E Ellis
NPI #1649458308 in Connellsville, Pennsylvania
Provider Information
- NPI Number
- 1649458308
- Entity Type
- Organization
- Organization Name
- John E Ellis
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Feb 5, 2008
- Last Updated
- Oct 4, 2012
Practice Location
- Address
- 619 E CRAWFORD AVE
- City
- Connellsville
- State
- Pennsylvania
- ZIP Code
- 15425-2102
- Phone
- (724) 628-1370
Authorized Official
- Name
- JOHN E. ELLIS, O.D.
- Title
- OWNER
- Phone
- (724) 628-1370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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