person
Olivia Mae Ellis, LDO,ABOC
Optician in Gloucester, Virginia
NPI 1164290706

Olivia Mae Ellis is a Optician based in Yorktown, VA and is specialized in Optician. Olivia Mae Ellis practices in Gloucester, VA and has the professional credentials of LDO,ABOC. The NPI Number for Olivia Mae Ellis is 1164290706 and holds a License No. 1101004052 (Virginia).

The current practice location address for Olivia Mae Ellis is 6819 Waltons Ln, Gloucester, VA and can be reached out via phone at 804-693-2623.

Location: 6819 Waltons Ln, Gloucester, VA, 23692-4747
person
Provider Profile Details
NPI Number
1164290706
Provider Name
Olivia Mae Ellis
Credential
LDO,ABOC
Provider Entity Type
Individual
Gender
Female
Address
6819 Waltons Ln, Gloucester, VA, 23692-4747
Phone Number
804-693-2623
Fax Number
Provider Enumeration Date
12/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6819 Waltons Ln
City
State
Zip
23061-6113
Phone Number
804-693-2623
Fax Number
person
Provider Business Mailing Address Details
Address
6819 Waltons Ln
City
State
Zip
23061-6113
Phone Number
804-693-2623
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
1101004052 (Virginia)
Definition
Definition to come...
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