Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELLILTA DANIEL MEZGEBU, OD
Active Sole ProprietorDR. ELLILTA DANIEL MEZGEBU, OD is a Optometrist healthcare provider located in WALDORF, Maryland. NPI 1548047574 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WALDORF, MD
Registration Details
- NPI Number
- 1548047574
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2023 (2.9048215688288 yrs)
- Last Updated
- Feb 2, 2024
- License
-
TA2948 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2955 CRAIN HWY STE AWALDORF, MD, 206012810Browse MD providers · Browse ZIP 20601
- Phone
- 3016453600
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in WALDORF, MD
| Name | Credential | NPI |
|---|---|---|
| DR. AARON I WEINSTEIN | OD | 1912960964 |
| DR. MARIA BERNADETTE NUNEZ-IMHOLTZ | OD | 1760420418 |
| DR. HOWARD B COHEN | O.D. | 1174554562 |
| DR. JODI KOLLIAS | O.D. | 1932130945 |
| DR. EDWARD J SCHWARTZBERG | O.D. | 1215969035 |
| MRS. TRACY LEE AIGNER | O.D. | 1235232414 |
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.