DR. John E Ellis, O.D.

NPI #1962465971 in Connellsville, Pennsylvania

Provider Information

NPI Number: 1962465971
Entity Type: Individual
Name: DR. John E Ellis, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Apr 10, 2006
Last Updated: Mar 5, 2014

Practice Location

Address: 619 E CRAWFORD AVE
City: Connellsville
State: Pennsylvania
ZIP Code: 15425-2102
Phone: (724) 628-1370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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