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Contact Information

DAVID H ELLIS, OD
602 W. UNIVERSITY AVENUE
OPHTHALMOLOGY/OPTOMETRY
URBANA, IL61801
 Phone: 217-383-3150
 Fax: 217-383-4845
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DAVID H ELLIS · (Male)

NPI Number 1144322967
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/02/2006
Last updated 06/05/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 46007963
  • IL Medicaid 6447860011
  • IL Other 0533210001 DMERC
  • IL Other 410021583 RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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