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

DR. TYLER WILLIAM ELLSWORTH, OD

Active Sole Proprietor

DR. TYLER WILLIAM ELLSWORTH, OD is a Optometrist healthcare provider located in LITHONIA, Georgia. NPI 1760034110 is currently active in the NPPES registry. Verify at CMS.

Optometrist · LITHONIA, GA

Registration Details

NPI Number
1760034110
Provider Type
Individual
Gender
Male
NPI Issued
Jul 15, 2019 (7.04008296047 yrs)
Last Updated
Jul 15, 2019
License
OPT003180 (GA)
Sole Proprietor
Yes

Practice Information

Address
8075 MALL PKWY STE 103
LITHONIA, GA, 300386993
Browse GA providers · Browse ZIP 30038
Phone
7704842955
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in LITHONIA, GA

Name Credential NPI
ONYINYECHI ACHIONYE OD 1962437707
GLENDY YEH OD 1124046248
DR. MARTHA R TRIBBET O.D. 1386708139
PAMELA PIERRE O.D. 1770904427
DR. LINA BARRY O.D. 1972902989
DR. KELLY ARNHART OD 1487147955
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.