Healthcare Provider Details

I. General information

NPI: 1437483906
Provider Name (Legal Business Name): BRITTANY ELLIS OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2009
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 CAROTHERS PKWY STE 106
FRANKLIN TN
37067-6024
US

IV. Provider business mailing address

141 W HARBOR
HENDERSONVILLE TN
37075-3558
US

V. Phone/Fax

Practice location:
  • Phone: 615-764-1999
  • Fax:
Mailing address:
  • Phone: 614-323-4160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3780
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: