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Contact Information

MARTIN G ELLIS, OD
3018 STATE ROUTE C
CORTLAND, OH44410
 Phone: 330-638-4097
 Fax: 330-637-0140
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARTIN G ELLIS · (Male)

NPI # 1871664391
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/13/2006
Last updated 01/26/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 3343T420
  • OH Medicaid 0373359
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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