National Provider Identifier Database

ROBERT ELLIS JR, OD – NPI #1154415370
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

ROBERT ELLIS JR, OD
425 E 10TH ST
SUITE C
ANNISTON, AL36207-4787
Phone: 256-236-7516
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for ROBERT ELLIS JR

NPI Number 1154415370
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/03/2006
Last updated 09/30/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • AL License #: S-A50-TA-640
  • AL Medicaid: 051554369
  • AL Other: 051520873 BCBS ANNISTON
  • AL Other: 051520874 BCBS WOODLAND
Hospital affiliation n/a

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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