National Provider Identifier Database

JEFFERY D ELLIOTT, OD – NPI #1780766592
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

JEFFERY D ELLIOTT, OD
1139 N HILLS CTR
ADA, OK74820-1882
Phone: 580-332-6000
Fax: 580-332-6006
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for JEFFERY D ELLIOTT

NPI Number 1780766592
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/20/2006
Last updated 01/17/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • OK License #: 2241
  • OK Medicaid: 100762790A
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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