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Contact Information

BRIAN E ELLIOTT, OD
6331 JACKSON AVE
RIVERBANK, CA95367
 Phone: 209-869-3300
 Fax: 209-869-8809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRIAN E ELLIOTT · (Male)

NPI # 1760566434
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/25/2006
Last updated 09/01/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 9440T
  • CA Medicaid SD0094401
  • CA Other 0723780001 MEDICARE DME PIN
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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