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Nicholas Ellis, LDO
Optician in Shelbyville, Tennessee
NPI 1841996121

Nicholas Ellis is a Optician based in Shelbyville, TN and is specialized in Optician. Nicholas Ellis practices in Shelbyville, TN and has the professional credentials of LDO. The NPI Number for Nicholas Ellis is 1841996121 and holds a License No. 2451 (Tennessee).

The current practice location address for Nicholas Ellis is 875 Union Street, Shelbyville, TN and can be reached out via phone at 931-488-5778.

Location: 875 Union Street, Shelbyville, TN, 37162-2641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841996121
Provider Name
Nicholas Ellis
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
875 Union Street, Shelbyville, TN, 37162-2641
Phone Number
931-488-5778
Fax Number
Provider Enumeration Date
02/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
875 Union Street
City
Shelbyville
State
Tennessee
Zip
37160
Phone Number
931-488-5778
Fax Number
person
Provider Business Mailing Address Details
Address
875 Union Street
City
Shelbyville
State
Tennessee
Zip
37160
Phone Number
931-488-5778
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
2451 (Tennessee)
Definition
Definition to come...
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