Louis P Ellen, OD is a
Optometrist based in Jackson, Kentucky. Louis P Ellen is licensed to practice in Kentucky (license number 1500DT) and his current practice location is
540 Jett Dr, Jackson, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 666-9393.
NPI number for Louis P Ellen is 1134124928 and his current mailing address is 1401 Harrodsburg Rd, Ste B75, Lexington, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134124928.
Healthcare Provider's Profile
Full Name | Louis P Ellen |
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Gender | Male |
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Speciality | Optometrist |
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Location | 540 Jett Dr, Jackson, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134124928
- Provider Enumeration Date: 06/17/2005
- Last Update Date: 11/27/2007
Medical Identifiers
Medical identifiers for Louis P Ellen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134124928 | NPI | - | NPPES |
77000404 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1500DT (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Louis P Ellen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Louis P Ellen, OD 1401 Harrodsburg Rd, Ste B75, Lexington, KY 40504-1724 Ph: (859) 278-9393 | Louis P Ellen, OD 540 Jett Dr, Jackson, KY 41339-9622 Ph: (606) 666-9393 |
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