| Ellen L. Ellsworth, Od Inc | |
|
9930 Johnnycake Ridge Rd, Suite 4b, Mentor, OH 44060-6752 | |
| (440) 352-8031 | |
| (440) 352-7671 |
| Full Name | Ellen L. Ellsworth, Od Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 9930 Johnnycake Ridge Rd, Mentor, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568642890 | NPI | - | NPPES |
| 0841316 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4277 T228 (Ohio) | Primary |
| Provider Name | Ellen Lille Ellsworth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437297264 PECOS PAC ID: 4880709237 Enrollment ID: I20120113000419 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen L. Ellsworth, Od Inc 9930 Johnnycake Ridge Rd, Suite 4b, Mentor, OH 44060-6752 Ph: (440) 352-8031 | Ellen L. Ellsworth, Od Inc 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 |