SCOTT J ELLIS, OD, Optometrist ELK CITY, OK

Contact Information

SCOTT J ELLIS, OD

920 N MAIN ST
ELK CITY, OK 73644-2829

Phone: 580-243-1121
Fax: 580-243-1145
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optometrist	152W00000X	41	Optometry

Indicates primary specialty

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NPI Profile & details for SCOTT J ELLIS · (Male)

NPI #	`1417975079`
Status	Active
Credentials	OD (Doctor of Optometry)
Entity	Individual
Enumeration date	07/18/2006
Last updated	03/05/2024 - About 2 years ago
Sole proprietor ¹	No
Identifiers	OK License # 2331
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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SCOTT J ELLIS, OD – NPI #1417975079Optometrist

Contact Information

Specialty

Optometrist

NPI Profile & details for SCOTT J ELLIS · (Male)

Reviews for SCOTT J ELLIS

SCOTT J ELLIS, OD – NPI #1417975079
Optometrist