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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OLIVIA MAE ELLIS, LDO, ABOC

Active

OLIVIA MAE ELLIS, LDO, ABOC is a Optician, Dispensing healthcare provider located in GLOUCESTER, Virginia. NPI 1164290706 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · GLOUCESTER, VA

Registration Details

NPI Number
1164290706
Provider Type
Individual
Gender
Female
NPI Issued
Dec 13, 2023 (2.6899273141097 yrs)
Last Updated
Dec 13, 2023
License
1101004052 (VA)

Practice Information

Address
6819 WALTONS LN
GLOUCESTER, VA, 230616113
Browse VA providers · Browse ZIP 23061
Phone
8046932623
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in GLOUCESTER, VA

Name Credential NPI
JOSEPH ANTHONY KOKE 1558139113
MRS. ANGELA DAVIDSON 1750184883
CRYSTAL MICHELE STOCKI ABO, NCLE, CPOA 1497549067
HEATHER MARIE DOTSON ABO 1245191162
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.