Dr Ellen Lille Ellsworth, OD | |
9930 Johnnycake Ridge Rd, Suite 4b, Mentor, OH 44060-6752 | |
(440) 352-8031 | |
(440) 352-7671 |
Full Name | Dr Ellen Lille Ellsworth |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 33 Years |
Location | 9930 Johnnycake Ridge Rd, Mentor, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437297264 | NPI | - | NPPES |
0841316 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4277 T228 (Ohio) | Primary |
Provider Name | Ellen L. Ellsworth, Od Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568642890 PECOS PAC ID: 3274653704 Enrollment ID: O20120113000396 |
Mailing Address | Practice Location Address |
---|---|
Dr Ellen Lille Ellsworth, OD 9930 Johnnycake Ridge Rd, Suite 4b, Mentor, OH 44060-6752 Ph: (440) 352-8031 | Dr Ellen Lille Ellsworth, OD 9930 Johnnycake Ridge Rd, Suite 4b, Mentor, OH 44060-6752 Ph: (440) 352-8031 |
Sandra K Jones, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7200 Mentor Ave, Mentor, OH 44060 Phone: 440-946-8809 Fax: 440-269-7942 | |
Dr. Robert M Cherne, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9000 Mentor Ave Ste 102, Mentor, OH 44060 Phone: 216-383-0100 Fax: 216-383-6481 | |
Dr. Donald James Hendley, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9303 Mentor Avenue, Mentor, OH 44060 Phone: 440-974-3303 | |
Dr. Jocelyn Rose Pettitt, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7200 Mentor Ave, Mentor, OH 44060 Phone: 440-946-8809 Fax: 440-269-7942 | |
Great Lakes Eyecare, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7348 Mentor Ave, Mentor, OH 44060 Phone: 440-953-2020 Fax: 440-953-2030 | |
Prof. Robert Waldman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8900 Mentor Ave, Suite B, Mentor, OH 44060 Phone: 440-255-7727 | |
Dr. Kenneth Andrew Boyle Sr., OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7875 Johnny Cake Ridge Rd, Great Lakes Mall, Mentor, OH 44060 Phone: 440-255-2176 Fax: 440-255-1094 |