| Ellison Eyecare Ltd. Co | |
|
1039 Harley Strickland Blvd Orange City FL 32763-7979 | |
| (386) 774-0044 | |
| Not Available |
| Full Name | Ellison Eyecare Ltd. Co |
|---|---|
| Speciality | Clinic/center |
| Location | 1039 Harley Strickland Blvd, Orange City, Florida |
| Authorized Official Name and Position | Donald F. Ellison (OFFICER) |
| Authorized Official Contact | 4079719518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellison Eyecare Ltd. Co 5545 Misty Wood Ct Oviedo FL 32765-6612 Ph: () - | Ellison Eyecare Ltd. Co 1039 Harley Strickland Blvd Orange City FL 32763-7979 Ph: (386) 774-0044 |
| NPI Number | 1134372600 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134372600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OPC4124 (Florida) | Primary |
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