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General NPI Number Information
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NPI Number | 1891972048
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Entity Type | Organization
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Legal Business Name | ELLIS OPTICAL SHOPPE LLC
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 2318A 12TH ST
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City | MERIDIAN
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State | MS
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Zip | 39301-3933
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Country | US
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Telephone | 601-483-1172
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Fax |
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Provider Business Mailing Address
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Address Line | 2318A 12TH ST
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City | MERIDIAN
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State | MS
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Zip | 39301-3933
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Country | US
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Telephone | 601-483-1172
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Fax |
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Authorized Official
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Title or Position | DISPENSING OPTICIAN
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Name | JONATHAN EVANS ELLIS
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Credential |
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Telephone | 601-483-1172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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